Individual
ZACHARY TYLER SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 934-3411
Mailing address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-168639
AL
363LF0000X
Family Nurse Practitioner
Primary
1-168639
AL
Other
Enumeration date
04/13/2020
Last updated
09/13/2021
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