Individual
DAGAN M BREAKFIELD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3825 SULLIVAN STREET, SUITE 2, MADISON, AL 35758
(256) 692-7492
(833) 791-1682
Mailing address
3825 SULLIVAN STREET, SUITE 2, MADISON, AL 35758
(256) 692-7492
(833) 791-1682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD33350
AL
363LF0000X
Family Nurse Practitioner
F01210174
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD33350
—
AL
Enumeration date
01/08/2021
Last updated
11/14/2024
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