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Individual

AMY SHIRLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
(205) 343-2225
(205) 333-0780
Mailing address
5005 OSCAR BAXTER DR, TUSCALOOSA, AL 35405-3698
(205) 343-2225
(205) 333-0780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-116147
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-116147
LICENSE
AL
Enumeration date
01/23/2015
Last updated
01/19/2023
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