| Brandi Criswell, | |
| 875 Friendship Rd, Tallassee, AL 36078-1255 | |
| (334) 283-3111 | |
| Not Available | 
| Full Name | Brandi Criswell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 875 Friendship Rd, Tallassee, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144758756 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-131647 (Alabama) | Primary | 
| Entity Name | Community Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 | 
| Entity Name | Ivy Creek Of Elmore Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 | 
| Entity Name | Wetumpka Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194057554 PECOS PAC ID: 6800053133 Enrollment ID: O20120130000098 | 
| Entity Name | Chilton Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366857674 PECOS PAC ID: 7517189855 Enrollment ID: O20141120002311 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brandi Criswell, 875 Friendship Rd, Tallassee, AL 36078-1255 Ph: () - | Brandi Criswell, 875 Friendship Rd, Tallassee, AL 36078-1255 Ph: (334) 283-3111 | 
| Mr. Deray Junior Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-1060 | |
| Mrs. Adrienne Bolan Goggans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
| Elizabeth R Bacchus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-567-8633 | |
| Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
| Nicole G Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-3975 | |
| Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291 |