Individual
MARANDA JARAN FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7461 EAST DRIVE, SUITE 102, MONTGOMERY, AL 36117
(334) 244-3281
(334) 244-3396
Mailing address
9095 HELENA DR, PIKE ROAD, AL 36064-2477
(334) 300-2591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-131127
AL
Other
Enumeration date
07/24/2019
Last updated
03/15/2022
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