Individual
AMY WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPNP
Contact information
Practice address
1001 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 237-1618
Mailing address
1001 LEIGHTON AVE, ANNISTON, AL 36207-5701
(256) 237-1618
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-087924
AL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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