Individual provider · Type 1 NPI

Ethan Tyler Dungan

Acute Care Nurse Practitioner · Birmingham, AL

NPI number 1255994588 Active

Practice location

1802 6th Ave S
Birmingham, AL 35233-1932

Mailing address

918 Cahaba River Parc
Birmingham, AL 35243-3264

Other practice locations

  • 500 22nd St S, Birmingham, AL 35233-3110 · (205) 934-1917

Specialties and licenses

TaxonomyCodeLicense
Infectious Disease Physician 207RI0200X1-149801 (AL)
Acute Care Nurse Practitioner Primary 363LA2100X1-149801 (AL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1255994588

Ethan Tyler Dungan's National Provider Identifier is 1255994588, issued on Apr 22, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Birmingham, AL. The record was last updated on Jun 29, 2023.