Provider Demographics
NPI:1699271239
Name:GARNER, BRANDIE DENISE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:BRANDIE
Middle Name:DENISE
Last Name:GARNER
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:P.O. BOX 10005
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-2005
Mailing Address - Country:US
Mailing Address - Phone:256-767-0081
Mailing Address - Fax:256-767-3077
Practice Address - Street 1:1751 VETERANS DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-767-0081
Practice Address - Fax:256-767-3077
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138601363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health