Individual
SABRINA R MACKSOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 202, MONTGOMERY, AL 36116
(334) 538-6608
(334) 286-2684
Mailing address
2105 E SOUTH BLVD, SUITE 412, MONTGOMERY, AL 36116-2409
(334) 538-6608
(334) 386-0259
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-092389
AL
Other
Enumeration date
11/01/2010
Last updated
01/15/2014
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