Individual
BETHANY DUSSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-2012
Mailing address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
1-176144
AL
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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