Individual
KATHY DECANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1260 CLARENCE E CHESNUT JR BYPASS, STE A, CENTRE, AL 35960-2812
(256) 266-1544
Mailing address
1260 CLARENCE E CHESNUT JR BYPASS, STE A, CENTRE, AL 35960-2812
(256) 266-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-063700
AL
363LF0000X
Family Nurse Practitioner
APRN11000785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177287
—
AL
Enumeration date
06/29/2015
Last updated
12/14/2022
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