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MRS. ANASTASIA KATERINA BOODY NP-C

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

Registrant NPI Number: 1619443348

Individual Registrant:
MRS. ANASTASIA KATERINA BOODY NP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
4100 MCCLELLAN BLVD  ANNISTON, AL 36201-2132 US
Tel: 256-235-2273  Fax: --

Contact information for business:
PO BOX 7126  OXFORD, AL 36203-7126 US
Tel: 989-506-7783  Fax: --

Registration Information:
NPI: 1619443348
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-139934

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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