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Individual

MRS. SHARON BOURDON GANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
30762 STATE HIGHWAY 181, SPANISH FORT, AL 36527-5672
(251) 626-0732
Mailing address
30762 STATE HIGHWAY 181, SPANISH FORT, AL 36527-5672
(251) 626-0732

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
1-125908
AL
363L00000X
Nurse Practitioner
Primary
1-125908
AL
363LF0000X
Family Nurse Practitioner
ARNP 9375017
FL

Other

Enumeration date
01/18/2014
Last updated
09/16/2021
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