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ELIZABETH FAULK CRNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1427581677

Individual Registrant:
 ELIZABETH  FAULK CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1925 W MAIN ST SUITE 102 CENTRE, AL 35960-2812 US
Tel: 256-677-4552  Fax: --

Contact information for business:
1500 1ST AVE N UNIT 3 BIRMINGHAM, AL 35203-1865 US
Tel: --  Fax: --

Registration Information:
NPI: 1427581677
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-075182

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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