Individual
MRS. LINDA SUE GRIMME FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
431 VILLAGE DR, DAPHNE, AL 36526-4003
(251) 621-9440
(251) 621-9687
Mailing address
431 VILLAGE DR, DAPHNE, AL 36526-4003
(251) 621-9440
(251) 621-9687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-024742
AL
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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