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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 1-087343 (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.