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Individual
ELIZABETH WIMBERLY
Active
Individual
ELIZABETH WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-145721
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-145721
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
07/22/2014
Last updated
03/27/2019
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