Individual
MRS. ANASTASIA KATERINA BOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4100 MCCLELLAN BLVD, ANNISTON, AL 36201-2132
(256) 235-2273
Mailing address
PO BOX 7126, OXFORD, AL 36203-7126
(989) 506-7783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-139934
AL
Other
Enumeration date
10/20/2018
Last updated
10/25/2021
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