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Individual

ELIZABETH TEUBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
910 ADAMS ST SE, SUITE 200, HUNTSVILLE, AL 35801-3730
(256) 265-6512
(256) 265-6727
Mailing address
106 COLLINGTON PL, MADISON, AL 35758-8577
(256) 265-6512
(256) 265-6727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-058859
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-058859
STATE LICENSE
AL
Enumeration date
01/02/2007
Last updated
07/08/2007
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