Provider Demographics
NPI:1306335666
Name:MARTIN, BRITTANY RUTHERFORD (CRNP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:RUTHERFORD
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:RUTHERFORD
Other - Last Name:TUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:390 SCOTT SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:OAKMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35579-5802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26279 HWY 195
Practice Address - Street 2:
Practice Address - City:DOUBLE SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:35553
Practice Address - Country:US
Practice Address - Phone:205-489-3322
Practice Address - Fax:205-489-3325
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-122054363LP2300X
ALAG09170087363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care