Individual
TIMIYA SHAREL NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1720 2ND AVE S, NB 508, BIRMINGHAM, AL 35294-1210
(205) 975-3465
(205) 996-9165
Mailing address
1720 2ND AVE S, NB 508, BIRMINGHAM, AL 35294-1210
(205) 975-3465
(205) 996-9165
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-118248
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-118248
BOARD OF NURSING LICENSE
AL
Enumeration date
08/13/2012
Last updated
12/21/2012
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