Individual
MRS. KATIE ELISE SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
212 AIRPORT ROAD W, FORT PAYNE, AL 35968
(256) 979-1250
Mailing address
212 AIRPORT RD W, FORT PAYNE, AL 35968-3335
(256) 979-1250
(256) 979-1251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-143791
AL
363L00000X
Nurse Practitioner
Primary
1-143791
AL
Other
Enumeration date
04/02/2018
Last updated
03/05/2026
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