Individual
ELIZABETH GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-4900
(256) 927-9151
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1066562
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557533
—
AL
01
—
510-03687
BCBS
AL
Enumeration date
07/19/2006
Last updated
07/08/2008
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