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NPI Code Detail

MEDICARE: MARY SYMES CRNP

MEDICARE: MARY SYMES 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
1363L00000XNurse Practitioner1-175706AL

General Provider Information

NPI Number : 1467311969
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SYMES CRNP
Provider Business Mailing Address
First Line : 30941 MILL LN STE A
Second Line :
City : DAPHNE
State : AL
Zip : 36527-5457
Country : US
Telephone Number : 251-621-4950
Fax Number :
Provider Business Practice Location Address
First Line : 30941 MILL LN STE A
Second Line :
City : DAPHNE
State : AL
Zip : 36527-5457
Country : US
Telephone Number : 251-621-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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