Individual
MRS. REBECCA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 934-4376
Mailing address
350 DEXTER DR, WINFIELD, AL 35594-6938
(205) 495-6422
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-135680
AL
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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