Provider Demographics
NPI:1588225452
Name:BRINSON, SYLVIA ANNETTE
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANNETTE
Last Name:BRINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:AL
Mailing Address - Zip Code:36401-3110
Mailing Address - Country:US
Mailing Address - Phone:251-369-2788
Mailing Address - Fax:
Practice Address - Street 1:201 AVENUE C
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:AL
Practice Address - Zip Code:36401-3110
Practice Address - Country:US
Practice Address - Phone:251-369-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker