Individual
MYRA BETHANY LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 393-3838
Mailing address
5529 6TH ST, GADSDEN, AL 35903-4863
(256) 393-3838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-146861
AL
Other
Enumeration date
03/05/2021
Last updated
10/15/2024
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