State of Alabama Department of Public Health

NPI #1104133693 in Pell City, Alabama

Provider Information

NPI Number: 1104133693
Entity Type: Organization
Organization Name: State of Alabama Department of Public Health
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Sep 7, 2010
Last Updated: Sep 7, 2010

Practice Location

Address: 1175 23RD STREET NORTH
Address 2: ST. CLAIR COUNTY HEALTH DEPARTMENT
City: Pell City
State: Alabama
ZIP Code: 35125
Phone: (205) 338-3357

Authorized Official

Name: MRS. ARLINDA LESHUN WORMELY, CRNP
Title: CRNP/NURSE PRACTITIONER
Phone: (205) 338-3357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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