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NPI Code Detail

MEDICARE: MRS. NANCY SUZANNAH BARNETTE CRNP

MEDICARE:  MRS. NANCY SUZANNAH BARNETTE  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
1364SF0001XFamily Health Clinical Nurse Specialist207Q00000XAL

General Provider Information

NPI Number : 1689869026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY SUZANNAH BARNETTE CRNP
Provider Business Mailing Address
First Line : 7104 UNIVERSITY CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8045
Country : US
Telephone Number : 334-215-0711
Fax Number : 334-215-0710
Provider Business Practice Location Address
First Line : 7104 UNIVERSITY CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8045
Country : US
Telephone Number : 334-215-0711
Fax Number : 334-215-0710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 09/10/2007

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Directions to “ MRS. NANCY SUZANNAH BARNETTE CRNP” Practice Location

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