Alisha Sample
Registered Nurse, General Practice in Montgomery, AL. Individual provider (NPI-1).
NPI number1093467243
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1093467243
- Entity type
- Individual (NPI-1)
- Name
- Alisha Sample
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2022
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 1-088225 | AL | Yes |
Practice location
5760 Carmichael PkwyMontgomery, AL 36117-2338
Phone 334-361-8555
Mailing address
1362 Indian Hills RdPrattville, AL 36067-7037
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