Individual
MS. STELLA LOUISE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL 36420-5311
(334) 222-1583
(334) 222-1573
Mailing address
215 MEDICAL PARK DR, SUITE 1, ANDALUSIA, AL 36420-5311
(334) 222-1583
(334) 222-1573
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1061816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
09/03/2008
Last updated
09/03/2008
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