Organization · Type 2 NPI

Senior Health Source LLC

Gerontology Clinical Nurse Specialist · Daphne, AL

NPI number 1750677407 Active

Practice location

27440 County Road 13
Daphne, AL 36526-6222

Mailing address

PO Box 7872
Spanish Fort, AL 36577-7872

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist Primary 364SG0600X1-087343 (AL)

Gerontology Clinical Nurse Specialist: Definition to come...

About NPI 1750677407

Senior Health Source LLC's National Provider Identifier is 1750677407, issued on Jun 21, 2011. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Daphne, AL. The record was last updated on Dec 30, 2011.