Stanley Farrell Smallwood, CRNP-APRN-BC
Nurse Practitioner, Family in Tanner, AL. Individual provider (NPI-1).
NPI number1447423009
StatusActive
Last updated in NPPESFeb 19, 2013
Details
- NPI
- 1447423009
- Entity type
- Individual (NPI-1)
- Name
- Stanley Farrell Smallwood
- Credential
- CRNP-APRN-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2008
- Last updated
- Feb 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-088147 | AL | Yes |
Practice location
20104 Swanner BlvdSuite 4
Tanner, AL 35671
Phone 256-686-3334 · Fax 256-686-3339
Mailing address
20104 Swanner BlvdSuite 4
Tanner, AL 35671-3651
Phone 256-686-3334 · Fax 256-686-3339
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