Individual
WANDA D MISORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7488
(256) 428-7490
Mailing address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7488
(256) 428-7490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1094048
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533131
BCBS
AL
01
—
51533133
BCBS
AL
01
—
51533135
BCBS
AL
01
—
51536160
BCBS
AL
Enumeration date
03/19/2007
Last updated
07/08/2007
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