Gavin, Brenda Faye
Gavin, Brenda Faye is an sole proprietor health care provider with primary practice located at 100 Memorial Hospital Dr Ste 1A , Mobile AL 36608-1128. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Gavin, Brenda Faye can be contacted via phone (251) 343-6848.Contact Information
Primary practice address
100 Memorial Hospital Dr Ste 1A
Mobile AL 36608-1128
Phone: (251) 343-6848
Fax: (251) 343-5708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-087281 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1-087281 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R900157 | Mississippi |
Profile Details
| NPI number | 1265812424 |
|---|---|
| LBN Legal business name | Gavin, Brenda Faye |
| Credentials | APRN FNP-C AG-ACNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Oct 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265812424 | NPPES |
| Alabama | Other | 6858582 | AETNA |
| Alabama | MEDICAID | 08101023 | AETNA |
| Alabama | Other | 512-42739 | AETNA |
| Alabama | MEDICAID | 250441 | AETNA |
| Alabama | Other | 512-42738 | AETNA |
| Alabama | Other | 512-42741 | AETNA |
| Alabama | Other | 1265812424 | AETNA |
| Alabama | MEDICAID | 250364 | AETNA |
| Alabama | MEDICAID | 250414 | AETNA |
| Alabama | Other | 1265812424 | AETNA |
| Alabama | MEDICAID | 250605 | AETNA |
| Alabama | Other | 512-42742 | AETNA |
| Alabama | Other | 5896052 | AETNA |
| Alabama | Other | A03966A | AETNA |
| Alabama | Other | Z27049 | AETNA |
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