Individual
GWENDOLYN BROOKE WYROSDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-181992
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-181992
AL
Other
Enumeration date
04/20/2023
Last updated
12/04/2024
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