| Amy Brister, | |
| 
					708 11th St Apt 307, Tuscaloosa, AL 35401-3182  | |
| (256) 683-7496 | |
| Not Available | 
| Full Name | Amy Brister | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse - Critical Care Medicine | 
| Location | 708 11th St Apt 307, Tuscaloosa, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003486143 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 1-140165 (Alabama) | Primary | 
| Entity Name | Dch Medical Center Crna | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356642045 PECOS PAC ID: 5395933626 Enrollment ID: O20101230000396  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy Brister, 708 11th St Apt 307, Tuscaloosa, AL 35401-3182 Ph: (256) 683-7496  | Amy Brister, 708 11th St Apt 307, Tuscaloosa, AL 35401-3182 Ph: (256) 683-7496  | 
Mr. Jeffery Delynn Crawford, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 University Blvd, Tuscaloosa, AL 35401 Phone: 205-759-0900  | |
Amy Moore, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 Rice Mine Road Loop Ste 104, Tuscaloosa, AL 35406 Phone: 205-561-2370 Fax: 205-345-4921  | |
Mrs. Elaine Vencile Foster, BS, BSN, MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000  | |
Ms. Carol Lane Ultee, LPN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000  | |
Virginia H Nix, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 801 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-759-7800  | |
Mrs. Corrie Bryant, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3701 Loop Rd, Tuscaloosa, AL 35404 Phone: 205-554-2000 Fax: 205-507-5264  |