Individual
MRS. AMBREA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 WALLACE DR, CLIO, AL 36017-2613
(334) 544-7322
Mailing address
1322 OAK ST, MONTGOMERY, AL 36108-3527
(334) 215-0702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122113
AL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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