Individual provider · Type 1 NPI

Luiz Juan, CRNP

Family Nurse Practitioner · Fort Payne, AL

NPI number 1912446337 Active

Practice location

2605 Gault Ave N Ste 200
Fort Payne, AL 35967-3700

Mailing address

100 Forest Ave NW
Fort Payne, AL 35967-2054

Other practice locations

  • 5121 Maryland Way Ste 300, Brentwood, TN 37027-7516 · (615) 928-6275
  • 200 Medical Center Dr SW, Fort Payne, AL 35968-3458 · (256) 997-2400
  • 1007 Goodyear Ave, Gadsden, AL 35903-1100 · (256) 491-4102

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1-132461 (AL)
Adult Health Clinical Nurse Specialist 364SA2200X1-132461 (AL)
Gerontology Clinical Nurse Specialist 364SG0600X1-132461 (AL)
Family Nurse Practitioner Primary 363LF0000X1-132461 (AL)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1912446337

Luiz Juan, CRNP's National Provider Identifier is 1912446337, issued on Feb 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Payne, AL. The record was last updated on Oct 7, 2022.