Individual
ELIZABETH HAFERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
(205) 977-1933
Mailing address
834 EUCLID AVE, MOUNTAIN BRK, AL 35213-2502
(205) 901-3135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-169308
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-169308
AL
Other
Enumeration date
03/11/2024
Last updated
05/05/2024
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