Individual
ANGELA ROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 EMERY DR W, HOOVER, AL 35244-4625
(205) 989-7254
(205) 989-4202
Mailing address
801 HILLMOOR LN, HOMEWOOD, AL 35209-6432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-123666
AL NURSING LICENSE
AL
Enumeration date
03/08/2021
Last updated
03/08/2021
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