Breana Nicole Durrah, AGNP-C
Nurse Practitioner, Adult Health in Vestavia Hills, AL. Individual provider (NPI-1).
NPI number1568057255
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1568057255
- Entity type
- Individual (NPI-1)
- Name
- Breana Nicole Durrah
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2021
- Certification date
- Dec 27, 2020
- Last updated
- Mar 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AG10200084 | AL | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | AG10200084 | AL |
Practice location
4108 River Walk LnVestavia Hills, AL 35216-6812
Phone 240-682-4232
Mailing address
4108 River Walk LnVestavia Hills, AL 35216-6812
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