Individual
SUSAN J WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 759-7744
Mailing address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 759-7744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1043954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051040513
BCBS OF ALABAMA
AL
05
—
103896
—
AL
01
—
510I500294
MEDICARE
AL
Enumeration date
12/06/2006
Last updated
12/20/2010
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