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MRS. CHELSEA LAUREN FAIRLEIGH CRNP

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

Registrant NPI Number: 1386176618

Individual Registrant:
MRS. CHELSEA LAUREN FAIRLEIGH CRNP
Gender: F
Sole Proprietor

Location and contact information for practice:
508 E THREE NOTCH ST  ANDALUSIA, AL 36420-3128 US
Tel: 334-362-2015  Fax: --

Contact information for business:
29 KIRBY ST  FORT RUCKER, AL 36362-2237 US
Tel: --  Fax: --

Registration Information:
NPI: 1386176618
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
OK104201
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL176768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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