Mindy Beth O'bryant, CRNP | |
3907 Hood Dr, Southside, AL 35907-7096 | |
(256) 689-1038 | |
Not Available |
Full Name | Mindy Beth O'bryant |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3907 Hood Dr, Southside, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346759438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-107565 (Alabama) | Primary |
Entity Name | Southern Immediate Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 |
Mailing Address | Practice Location Address |
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Mindy Beth O'bryant, CRNP 3907 Hood Dr, Southside, AL 35907-7096 Ph: (256) 689-1038 | Mindy Beth O'bryant, CRNP 3907 Hood Dr, Southside, AL 35907-7096 Ph: (256) 689-1038 |
Mollie Williams, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1322 Highway 77, Southside, AL 35907 Phone: 256-613-9014 | |
Gina Bolton Farley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5895 Katherine St, Southside, AL 35907 Phone: 256-490-9304 | |
Angela Marie Pate, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 | |
Amanda Michelle Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 Berkley Hills Dr E, Southside, AL 35907 Phone: 256-490-9900 | |
Misty Lynne Holcomb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 77, Southside, AL 35907 Phone: 256-442-4141 Fax: 256-442-4157 |