Individual
MRS. BROOKE DIANE LOVELESS-YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2371 HIGHWAY 78, DORA, AL 35062-5233
(205) 255-7052
(205) 255-7053
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-111217
AL
Other
Enumeration date
08/15/2018
Last updated
08/02/2019
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