Individual
ELIZABETH FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 CHATEAU DR SW, SUITE 100, HUNTSVILLE, AL 35801-6436
(256) 881-9997
(256) 880-3838
Mailing address
2609 QUARTER LN SE, OWENS CROSS ROADS, AL 35763-8678
(205) 394-1372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-141516
AL
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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