Individual
MYRA KAY MORISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1369A GEORGE WALLACE HWY, RUSSELLVILLE, AL 35654-3281
(256) 331-9700
(256) 331-2615
Mailing address
1369A GEORGE WALLACE HWY, RUSSELLVILLE, AL 35654-3281
(256) 331-9700
(256) 331-2615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1129315
AL
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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