Individual
MRS. SUSAN ANNETTE STAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 BROOKLYN RD, HOLLY POND, AL 35083-6478
(256) 451-1250
Mailing address
111 BROOKLYN RD, HOLLY POND, AL 35083-6478
(256) 451-1250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102990
AL
Other
Enumeration date
02/22/2013
Last updated
05/05/2015
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