NPI Search for Physicians and Health Care Providers
THERESA DARLENE PUTMAN CRNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1609114198
Individual Registrant:
THERESA DARLENE PUTMAN CRNP
Gender: F
Not Sole Proprietor
Location and contact information for practice:
108 4TH AVE SW STE A REFORM, AL 35481-8018 US
Tel: 205-375-6251 Fax: --
Contact information for business:
108 4TH AVE SW STE A REFORM, AL 35481-8018 US
Tel: 205-375-6251 Fax: --
Registration Information:
NPI: 1609114198
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
| AL | 1-074182 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS AL - Page 1