Individual
MRS. PATRICIA LEANN CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
117 SECOND AVE SE, CULLMAN, AL 35055-3511
(256) 739-4144
(256) 739-4595
Mailing address
117 SECOND AVE SE, CULLMAN, AL 35055-3511
(256) 739-4144
(256) 739-4595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1069394
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031182
—
AL
01
—
051531182
BCBS
AL
Enumeration date
10/02/2006
Last updated
10/11/2007
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