Individual
MRS. HALA SHAMA MOURTADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6213 SHANNON BROOK LANE, OXFORD, AL 36203
(256) 371-0084
Mailing address
6213 SHANNON BROOK LANE, OXFORD, AL 36203
(256) 371-0084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1-123194
AL
363LF0000X
Family Nurse Practitioner
Primary
1-123194
AL
Other
Enumeration date
02/26/2014
Last updated
05/22/2014
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