Individual
MS. PENNE NELSON FONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
1110 DR EDWARD HILLARD DR, TUSCALOOSA, AL 35401-7446
(205) 759-1279
(205) 344-4072
Mailing address
1110 DR. EDWARD HILLARD DR., TUSCALOOSA, AL 35403
(205) 759-1279
(205) 344-4072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-065262
AL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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