TA-NISHA EMMANUEL

MONTGOMERY, AL
NPI1194105171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-134653)
Enumeration Date2015-06-04
Last Update Date2020-12-18
Business Address
TA-NISHA EMMANUEL CRNP
1722 PINE ST STE 502
MONTGOMERY, AL 36106-1160
Phone number: 342-938-5883
Mailing Address
TA-NISHA EMMANUEL CRNP
1722 PINE ST STE 203
MONTGOMERY, AL 36106-1158
Phone number: 334-293-8736