Individual
SUSAN MILLER PREWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 PLANTATION BLVD, UNIT B, FAIRHOPE, AL 36532-2949
(251) 732-2635
(251) 732-2637
Mailing address
915 PLANTATION BLVD, UNIT B, FAIRHOPE, AL 36532-2949
(251) 732-2635
(251) 732-2637
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-113566
AL
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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