Provider Demographics
NPI:1205155678
Name:WALKER-DUNCAN, BRANDI L (CRNP)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:L
Last Name:WALKER-DUNCAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:L
Other - Last Name:WALKER-DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 70365
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-0365
Mailing Address - Country:US
Mailing Address - Phone:334-420-5001
Mailing Address - Fax:334-420-0146
Practice Address - Street 1:1000 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-4424
Practice Address - Country:US
Practice Address - Phone:334-420-5001
Practice Address - Fax:334-420-0146
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-102943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily