Individual
MRS. MOLLIE WALLACE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
150 S INGLESIDE ST STE 6, FAIRHOPE, AL 36532-1804
(251) 990-1740
(251) 990-1831
Mailing address
150 S INGLESIDE ST STE 6, FAIRHOPE, AL 36532-1804
(251) 990-1740
(251) 990-1831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-144807
AL
Other
Enumeration date
06/21/2018
Last updated
03/15/2023
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