Individual
MRS. AMANDA T CABANISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
1024 1ST ST N, CENTRAL ALABAMA ONCOLOGY, LLC, ALABASTER, AL 35007-8703
(205) 664-4051
(205) 664-4054
Mailing address
1024 1ST ST N, CENTRAL ALABAMA ONCOLOGY, LLC, ALABASTER, AL 35007-8703
(205) 664-4051
(205) 664-4054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1047753
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-047753
STATE LICENSE
AL
Enumeration date
04/11/2006
Last updated
02/28/2008
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