Individual
ANGELA RENE' PONTIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
ZRB 239, 1720 2ND AVENUE SOUTH, BIRMINGHAM, AL 35294-0007
(205) 996-2780
(205) 975-7764
Mailing address
1931 9TH AVE S, 155 COMMUNITY CARE BUILDING, BIRMINGHAM, AL 35294-0007
(205) 996-2780
(205) 975-7764
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1-087382
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#F0614047
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION
AL
01
—
1-087382
ALABAMA BOARD OF NURSING LICENSE
AL
01
—
4651
CRNP RX NUMBER
AL
Enumeration date
01/13/2015
Last updated
01/13/2015
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