Emily Depew
Nurse Practitioner, Family in Moody, AL. Individual provider (NPI-1).
NPI number1982242707
StatusActive
Last updated in NPPESDec 11, 2019
Details
- NPI
- 1982242707
- Entity type
- Individual (NPI-1)
- Name
- Emily Depew
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2019
- Certification date
- Dec 11, 2019
- Last updated
- Dec 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-157814 | AL | Yes |
Practice location
2211 Moody PkwyMoody, AL 35004-3014
Phone 205-352-2480
Mailing address
1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Phone 205-644-8256
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