Organization · Type 2 NPI
State of Alabama Department of Public Health
Family Nurse Practitioner · Luverne, AL
NPI number
1376851162
Active
Practice location
15 Hospital Rd., Crenshaw Co. Health Dept
Luverne, AL 36049
Fax (334) 335-3795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-059257 (AL) |
Family Nurse Practitioner: Definition to come...
About NPI 1376851162
State of Alabama Department of Public Health's National Provider Identifier is 1376851162, issued on Sep 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Luverne, AL. The record was last updated on Sep 15, 2010.