Individual
MRS. SUZANNE ALLISON CANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CDE
Contact information
Practice address
220 MAIN ST STE 112, TRUSSVILLE, AL 35173-2524
(205) 749-8940
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35202-1407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-062554
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150139
—
AL
Enumeration date
04/02/2012
Last updated
03/26/2024
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