Individual
THERESA DARLENE PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
Mailing address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-074182
AL
Other
Enumeration date
01/18/2013
Last updated
11/19/2019
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