Individual
ALEXIS NICOLE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NREMT
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(334) 255-7609
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG 301 ANDREWS AVENUE, FORT RUCKER, AL 36362-5333
(334) 255-7609
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3360311
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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