Individual
STACI BROWN HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4410 WATERMELON RD, NORTHPORT, AL 35473-5204
(205) 345-1520
(205) 345-1761
Mailing address
4410 WATERMELON RD, NORTHPORT, AL 35473-5204
(205) 345-1520
(205) 345-1761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113885
AL
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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