Organization · Type 2 NPI
State of Alabama Department of Public Health
Family Nurse Practitioner · Pell City, AL
NPI number
1104133693
Active
Practice location
1175 23rd Street North, St. Clair County Health Department
Pell City, AL 35125
Fax (205) 338-4863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-071785 (AL) |
Family Nurse Practitioner: Definition to come...
About NPI 1104133693
State of Alabama Department of Public Health's National Provider Identifier is 1104133693, issued on Sep 7, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pell City, AL. The record was last updated on Sep 7, 2010.