Individual
SARAH DENIECE STREETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7054 VETERANS PKWY, PELL CITY, AL 35125-5117
(205) 227-7985
Mailing address
5060 GOLD LEAF LN, PINSON, AL 35126-2889
(205) 837-0730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-074532
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-074532
AL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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