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NPI Code Detail

MEDICARE: COURTNEY LYNN TRITT CRNP

MEDICARE: COURTNEY LYNN TRITT CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-155790AL
2363L00000XNurse Practitioner1-155790AL

General Provider Information

NPI Number : 1407427842
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY LYNN TRITT CRNP
Provider Business Mailing Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number :
Provider Business Practice Location Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 07/20/2021

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Directions to “ COURTNEY LYNN TRITT CRNP” Practice Location

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