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Individual

MRS. CHARLOTTE GREALY WOESSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2257 TAYLOR RD, MONTGOMERY, AL 36117-3758
(334) 819-4824
Mailing address
PO BOX 370, FORTSON, GA 31808-0370

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097237
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-097237
ALABAMA BOARD OF NURSING
AL
01
RN637322
COMMON WEALTH OF PA, RN
PA
01
SP012320
COMMONWEALTH OF PA, CRNP
PA
Enumeration date
11/20/2008
Last updated
12/31/2024
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