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Individual

BILL S NOLAND JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-4785
(334) 749-6523
(334) 742-0242
Mailing address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-4785
(334) 749-6523
(334) 742-0242

Taxonomy

Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
1-041332
AL
363L00000X
Nurse Practitioner
Primary
2716
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134289580
AL
01
1215124557
NPI
AL
01
1215124557
NPI
05
122756
AL
05
122759
AL
05
122760
AL
05
122761
AL
05
122762
AL
05
122765
AL
05
528701590
AL
01
CC1726
RRMC
AL
Enumeration date
10/01/2007
Last updated
06/09/2011
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