Individual
EMILY CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Mailing address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-102595
AL
363LG0600X
Gerontology Nurse Practitioner
1-102595
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180998
—
AL
Enumeration date
01/28/2015
Last updated
04/15/2016
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