Individual
MRS. BETH TAYLOR ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-7310
Mailing address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-7310
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-091668
AL
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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