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Individual

WILLIAM ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 AVALON AVE, MUSCLE SHOALS, AL 35661-2869
(256) 629-1062
(256) 768-9187
Mailing address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-138316
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-138316
AL

Other

Enumeration date
08/21/2020
Last updated
12/14/2021
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