Individual
KATHRYN WAYNE ANZUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
143 WHITE OAK TRL, WARRIOR, AL 35180-5736
(205) 647-1819
Mailing address
3463 CHAPEL LN, HOOVER, AL 35226-2135
(205) 616-4609
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-152220
AL
363LF0000X
Family Nurse Practitioner
Primary
1-152220
AL
Other
Enumeration date
10/18/2020
Last updated
06/28/2023
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