Individual
MRS. KATIE THERESA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1407 BLOUNT AVE, GUNTERSVILLE, AL 35976-1888
(833) 582-2324
Mailing address
1407 BLOUNT AVE, GUNTERSVILLE, AL 35976-1888
(256) 302-3876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024182724
VA
363LF0000X
Family Nurse Practitioner
Primary
1-194290
AL
Other
Enumeration date
11/05/2021
Last updated
10/05/2023
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