Individual
KATIE FOSSETT DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5447 MAIN ST, GRANT, AL 35747-8322
(256) 572-0427
Mailing address
5447 MAIN ST, GRANT, AL 35747-8322
(256) 572-0427
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-171395
AL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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