Individual
ELIZABETH THOMAS PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-7317
Mailing address
5737 JONES VALLEY DR SE, HUNTSVILLE, AL 35802-1829
(256) 683-1447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-129310
AL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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