Individual
DIANE R TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1026 GOODYEAR AVE STE 200, GADSDEN, AL 35903-1194
(256) 543-3977
(256) 413-6330
Mailing address
200 OFFICE PARK DR, GULF SHORES, AL 36542-3432
(251) 968-7379
(251) 968-5960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-128203
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250274
—
AL
Enumeration date
04/06/2014
Last updated
09/06/2024
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