Individual
SUSAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211-1333
(205) 780-1963
(205) 780-1967
Mailing address
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211-1333
(205) 780-1963
(205) 780-1967
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1035474
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51504287
BLUE CROSS OF AL
AL
Enumeration date
08/21/2006
Last updated
07/14/2007
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