Individual provider · Type 1 NPI

Mia Gentle, NP-C

Family Nurse Practitioner · Prattville, AL

NPI number 1760890198 Active

Practice location

645 Mcqueen Smith Rd N
Prattville, AL 36066-7268

Mailing address

1365 Old Park Row
Montgomery, AL 36117-4395

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-077078 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1760890198

Mia Gentle, NP-C's National Provider Identifier is 1760890198, issued on Jul 29, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prattville, AL. The record was last updated on Jul 29, 2014.