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Individual

MRS. REBECCA SUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
176 7FL RM 7301F, 619 19TH STREET SOUTH, BIRMINGHAM, AL 35249-7404
(205) 975-5594
Mailing address
176 7FL RM 7301F, 619 19TH STREET SOUTH, BIRMINGHAM, AL 35249-7404
(205) 975-5594

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-127994
AL
363LA2200X
Adult Health Nurse Practitioner
1-127994
AL
363LG0600X
Gerontology Nurse Practitioner
1-127994
AL

Other

Enumeration date
09/09/2014
Last updated
02/06/2024
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