Individual
GEORGEANNE LOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
HUNTSVILLE HOSPITAL AUTHORITY, 101 SIVLEY ROAD, HUNTSVILLE, AL 35801
(256) 265-1000
Mailing address
1023 MIRA VISTA DR SE, HUNTSVILLE, AL 35802-3225
(256) 763-3268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1089692
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245998
EMPLOYEE ID
AL
Enumeration date
12/30/2021
Last updated
12/30/2021
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