Individual
NANCY URSPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
19250 N MOBILE ST, CITRONELLE, AL 36522-2122
(251) 866-7454
(251) 866-9121
Mailing address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8847
(251) 690-8859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-057991
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
NPI GROUP PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
02/12/2014
Last updated
03/17/2015
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