Provider Demographics
NPI:1578133583
Name:FRANKLIN, GARRETT BURK (RN)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:BURK
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:GARRETT
Other - Middle Name:BURK
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3712 16TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-1572
Mailing Address - Country:US
Mailing Address - Phone:251-591-8533
Mailing Address - Fax:
Practice Address - Street 1:SAMFORD UNIVERSITY DEPT OF NURSE ANESTHESIA 800 LAKE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229-0001
Practice Address - Country:US
Practice Address - Phone:205-726-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155093367500000X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine