Alabama Department Of Public Health Ehr Mu
Nurse Practitioner in Montgomery, AL. Organization (NPI-2).
NPI number1144755695
StatusActive
Last updated in NPPESApr 21, 2017
Details
- NPI
- 1144755695
- Entity type
- Organization (NPI-2)
- Legal business name
- Alabama Department Of Public Health Ehr Mu
- Organization subpart
- No
- Enumeration date
- Apr 21, 2017
- Last updated
- Apr 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
201 Monroe StSuite 250, Rsa Tower
Montgomery, AL 36104-3735
Phone 334-206-2905 · Fax 334-206-3998
Mailing address
201 Monroe StSuite 250, Rsa Tower
Montgomery, AL 36104-3735
Phone 334-206-2905 · Fax 334-206-3998
Authorized official
Laurie Stout
Nurse Manager
3342062905
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