Alabama Department of Public Health Ehr Mu

NPI #1144755695 in Montgomery, Alabama

Provider Information

NPI Number
1144755695
Entity Type
Organization
Organization Name
Alabama Department of Public Health Ehr Mu
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 21, 2017
Last Updated
Apr 21, 2017

Practice Location

Address
201 MONROE ST
Address 2
SUITE 250, RSA TOWER
State
Alabama
ZIP Code
36104-3735
Phone
(334) 206-2905

Authorized Official

Name
LAURIE STOUT, RN
Title
NURSE MANAGER
Phone
(334) 206-2905

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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