Individual
PAIGE GODFREY FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
(205) 333-8233
Mailing address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-159736
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-159736
AL
Other
Enumeration date
03/20/2022
Last updated
10/20/2023
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