Individual
MR. NATHANAEL PETER NALBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(256) 642-1753
Mailing address
2510 GENOA WAY APT 4, VESTAVIA, AL 35243-7002
(256) 642-1753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-140860
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407911787
BCBS
AL
Enumeration date
02/01/2019
Last updated
02/01/2019
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