Individual
MARY WAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 BEACON PKWY W STE 212, BIRMINGHAM, AL 35209-3123
(205) 666-1500
Mailing address
1813 PETTICOAT WAY, BIRMINGHAM, AL 35215-4176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-168176
AL
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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