Individual provider · Type 1 NPI
Tina Sudduth
Family Nurse Practitioner · Tuscaloosa, AL
NPI number
1316360084
Active
Practice location
809 University Blvd E
Tuscaloosa, AL 35401-2029
Fax (205) 343-8029
Mailing address
12775 Frank Lary Rd
Northport, AL 35475-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-046361 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316360084
Tina Sudduth's National Provider Identifier is 1316360084, issued on Jan 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jan 30, 2014.