Individual
EMILY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-2372
(256) 533-3379
Mailing address
PO BOX 040005, HUNTSVILLE, AL 35804-4005
(256) 533-3388
(256) 801-6727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150955
AL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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