Ms Brandi Michelle Holloway, | |
1030 Main St S Ste A, Wedowee, AL 36278-7440 | |
(256) 357-2188 | |
(256) 357-2023 |
Full Name | Ms Brandi Michelle Holloway |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1030 Main St S Ste A, Wedowee, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841971421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F06230472 (Alabama) | Primary |
Entity Name | Tanner Primary Care Of Wedowee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396002515 PECOS PAC ID: 8426211905 Enrollment ID: O20120521000201 |
Mailing Address | Practice Location Address |
---|---|
Ms Brandi Michelle Holloway, 1030 Main St S Ste A, Wedowee, AL 36278-7440 Ph: (256) 357-2188 | Ms Brandi Michelle Holloway, 1030 Main St S Ste A, Wedowee, AL 36278-7440 Ph: (256) 357-2188 |
Kimberly L Buckalew, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
Richard Daniel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main S St, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Mrs. Shanda Cotney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Karen Jo Thompson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Main St, Wedowee, AL 36278 Phone: 256-357-2111 Fax: 256-357-0175 | |
Mrs. Angela Cox Loveless, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Main St S, Wedowee, AL 36278 Phone: 256-357-2188 Fax: 256-357-2023 | |
Sarah Vanecia Davidson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 Main Street, Wedowee, AL 36278 Phone: 256-357-2111 |