Provider Demographics
NPI:1306335666
Name:MARTIN, BRITTANY RUTHERFORD (CRNP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:RUTHERFORD
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:RUTHERFORD
Other - Last Name:TUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:SIPSEY
Mailing Address - State:AL
Mailing Address - Zip Code:35584-0080
Mailing Address - Country:US
Mailing Address - Phone:205-648-5337
Mailing Address - Fax:
Practice Address - Street 1:3805 SIPSEY ROAD
Practice Address - Street 2:
Practice Address - City:SIPSEY
Practice Address - State:AL
Practice Address - Zip Code:35584
Practice Address - Country:US
Practice Address - Phone:205-648-5337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-122054363LP2300X
ALAG09170087363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care