Provider Demographics
NPI:1285949016
Name:BROWNLEE, WENDI LUANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:LUANN
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 RUBY TYLER PKWY
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-2958
Mailing Address - Country:US
Mailing Address - Phone:888-316-5383
Mailing Address - Fax:334-239-7654
Practice Address - Street 1:952 ROSE DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3363
Practice Address - Country:US
Practice Address - Phone:205-339-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-078729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily