| NPI | 1457400871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ANDREWS MULLEN Office Administrator 256-764-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-054374) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 00012505) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18158) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL 00012505) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 18158) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |