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MRS. MAE ANGLIE CARLISLE NP

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

Registrant NPI Number: 1538279740

Individual Registrant:
MRS. MAE ANGLIE CARLISLE NP
Gender: F
Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD  TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: --

Contact information for business:
2215 SPRINGHILL DR  AUBURN, AL 36830-7133 US
Tel: 334-821-2833  Fax: --

Registration Information:
NPI: 1538279740
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
AL1-028927

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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