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PATRICIA LEIGH ROUNTREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
802 N MAIN ST, OPP, AL 36467-1632
(334) 493-3240
(334) 493-9535
Mailing address
511 BRANTLEY ST, OPP, AL 36467-1702
(334) 493-3240
(334) 493-9535

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-129647
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181577
AL
01
511-71246
BLUECROSS BLUESHIELD OF ALABAMA
Enumeration date
11/18/2015
Last updated
03/27/2023
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