Individual
MRS. MAGGIE ANDERSON MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
717 JOHN H WITHERINGTON DR, TROY, AL 36081-4878
(334) 697-3007
Mailing address
1101 TUNSEL RD SW, HARTSELLE, AL 35640-6175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-183070
AL
Other
Enumeration date
02/01/2022
Last updated
01/08/2024
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