Individual
ALEXANDRIA BROOK MANSOOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 GOVERNORS DR, SUITE 400, HUNTSVILLE, AL 35801-5183
(256) 265-7246
Mailing address
3615 SWEARENGIN RD, GRANT, AL 35747-7763
(256) 572-3280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-149900
AL
Other
Enumeration date
01/20/2023
Last updated
03/19/2024
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