| NPI | 1699094730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANDERSON Owner 256-539-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-073968) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |