Individual
MERRI-MORGAN MATTOX OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PC
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1176184
AL
363LP0200X
Pediatric Nurse Practitioner
1-176184
AL
Other
Enumeration date
03/24/2020
Last updated
09/29/2021
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