Individual
CRYSTAL H ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
952 ROSE DR, SUITE B, NORTHPORT, AL 35476-3363
(205) 339-3000
(205) 339-0177
Mailing address
952 ROSE DR, SUITE B, NORTHPORT, AL 35476-3363
(205) 339-3000
(205) 339-0177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-094120
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110901
—
AL
01
—
515-98020
BC BS OF AL
AL
01
—
P00798442
RAILROAD MEDICARE
AL
Enumeration date
03/19/2009
Last updated
04/09/2010
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