Individual
MRS. ROBIN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1111 WAYNE RD NW, SUITE 6, HUNTSVILLE, AL 35806-3567
(256) 288-3333
Mailing address
415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 899-7585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-121760
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-121760
AL
Other
Enumeration date
10/31/2016
Last updated
05/14/2020
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