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1194105171
TA-NISHA EMMANUEL
MONTGOMERY, AL
NPI
1194105171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-134653)
Enumeration Date
2015-06-04
Last Update Date
2020-12-18
Business Address
TA-NISHA EMMANUEL CRNP
1722 PINE ST STE 502
MONTGOMERY, AL 36106-1160
Phone number: 342-938-5883
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Mailing Address
TA-NISHA EMMANUEL CRNP
1722 PINE ST STE 203
MONTGOMERY, AL 36106-1158
Phone number: 334-293-8736
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