Island Life Personalized Medicine
NPI #1730900648 in Gulf Shores, Alabama
Provider Information
- NPI Number
- 1730900648
- Entity Type
- Organization
- Organization Name
- Island Life Personalized Medicine
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 23, 2024
- Last Updated
- Oct 23, 2024
Practice Location
- Address
- 3817 GULF SHORES PKWY STE 9
- City
- Gulf Shores
- State
- Alabama
- ZIP Code
- 36542-2781
- Phone
- (251) 842-4287
Authorized Official
- Name
- MAGGIE MAE WALLACE, CRNP
- Title
- NURSE PRACTITIONER
- Phone
- (251) 842-4287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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