Individual
MRS. TONYA MICHELLE LISENBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-3852
(205) 638-3895
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-3852
(205) 638-3895
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1-059039
AL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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