STACEE BYRD BERTOLLA

MOBILE, AL
NPI1326545575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL  1-063545)
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
STACEE BYRD BERTOLLA CRNP
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1144
Mailing Address
STACEE BYRD BERTOLLA CRNP
16513 COUNTY ROAD 68
LOXLEY, AL 36551-3219
Phone number: 251-228-0080