Individual
MRS. RUTH MORRIS CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8216 MADISON BLVD, MADISON, AL 35758-2002
(256) 464-9991
(256) 464-9994
Mailing address
27731 EASTLAND DR, HARVEST, AL 35749-7549
(256) 777-6746
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-054980
AL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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