ELYSSA BETTENBROCK

ANDALUSIA, AL
NPI1871316984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  3-002068)
Enumeration Date2024-11-06
Last Update Date2024-11-25
Business Address
ELYSSA BETTENBROCK
508 E THREE NOTCH ST STE 100
ANDALUSIA, AL 36420-3128
Phone number: 334-362-2015
Mailing Address
ELYSSA BETTENBROCK
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number: 205-545-5088