Individual provider · Type 1 NPI

Ellen Massengale

Family Nurse Practitioner · Mobile, AL

NPI number 1952904419 Active

Practice location

6280 Grelot Rd
Mobile, AL 36609-3614

Mailing address

1500 1st Ave N Unit 3
Birmingham, AL 35203-1866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-137850 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1952904419

Ellen Massengale's National Provider Identifier is 1952904419, issued on Nov 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mobile, AL. The record was last updated on Nov 18, 2020.