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MRS. BROOKE DIANE LOVELESS-YATES CRNP

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

Registrant NPI Number: 1861972358

Individual Registrant:
MRS. BROOKE DIANE LOVELESS-YATES CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2371 HIGHWAY 78  DORA, AL 35062-5233 US
Tel: 205-255-7052  Fax: 205-255-7053

Contact information for business:
850 PETER BRYCE BLVD  TUSCALOOSA, AL 35401-7457 US
Tel: 205-348-1770  Fax: --

Registration Information:
NPI: 1861972358
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-111217

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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