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Individual

ANDREW SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211
(205) 783-3000
Mailing address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-135336
AL

Other

Enumeration date
02/01/2018
Last updated
02/01/2018
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