Individual
ANDREA DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 11TH AVE S STE 410, BIRMINGHAM, AL 35205-3423
(205) 939-4939
Mailing address
8506 HIGHLANDS TRCE, TRUSSVILLE, AL 35173-3816
(205) 910-9526
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-143782
AL
363LG0600X
Gerontology Nurse Practitioner
1-143782
AL
363LP2300X
Primary Care Nurse Practitioner
1-143782
AL
Other
Enumeration date
02/28/2018
Last updated
01/31/2024
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