Individual
BENTLEY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(913) 232-0527
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-167157
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-167157
AL
Other
Enumeration date
11/05/2019
Last updated
03/18/2024
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