Provider Demographics
NPI:1295026573
Name:PITTMAN-HOOKS, BRENDA SUE (CRNP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:SUE
Last Name:PITTMAN-HOOKS
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:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:36089-0312
Mailing Address - Country:US
Mailing Address - Phone:334-740-5252
Mailing Address - Fax:334-738-7339
Practice Address - Street 1:299 PRAIRIE ST N
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1618
Practice Address - Country:US
Practice Address - Phone:334-738-7337
Practice Address - Fax:334-738-7339
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1056109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily