Organization · NPI-2

Back To Basics Healthcare LLC

Nurse Practitioner, Family · Albertville, AL

NPI number1093349920
StatusActive
Last updated in NPPESJun 10, 2020

Details

NPI
1093349920
Entity type
Organization (NPI-2)
Legal business name
Back To Basics Healthcare LLC
Organization subpart
No
Enumeration date
Feb 29, 2020
Certification date
Jun 10, 2020
Last updated
Jun 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes

Practice location

5730 Us Highway 431
Albertville, AL 35950-0234

Phone 256-907-9700 · Fax 256-907-9724

Mailing address

5730 Us Highway 431
Albertville, AL 35950-0234

Phone 256-907-9700 · Fax 256-907-9724

Other practice locations

5722 Us Highway 431
Albertville, AL 35950-0234

Phone 256-907-9700 · Fax 256-907-9724

Authorized official

Robin Scott
Owner
2563023773

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