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LATISHA ALI CRNP

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1295217198

Individual Registrant:
 LATISHA  ALI CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3000 RIVERCHASE GALLERIA STE 500  HOOVER, AL 35244-2365 US
Tel: 205-994-8811  Fax: --

Contact information for business:
3000 RIVERCHASE GALLERIA STE 500  HOOVER, AL 35244-2365 US
Tel: --  Fax: --

Registration Information:
NPI: 1295217198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
AL1-146719

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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