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Individual

MEGAN BOISSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3245
Mailing address
200 RYANS LN, STEELE, AL 35987-3520
(205) 505-0031

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-136117
AL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2019042773
AL

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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