Individual
MRS. STORMY DENISE DISMUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, NP-C
Contact information
Practice address
408 MARTLING RD, ALBERTVILLE, AL 35951-7208
(256) 891-7724
Mailing address
408 MARTLING RD, ALBERTVILLE, AL 35951-7208
(256) 891-7724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-084124
AL
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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