Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-129741 | AL |
NPI | 1013505437 |
---|---|
Provider Name | Amanda Cheeks Collier |
First Address | Birmingham, AL 35233-1932 |
Second Address | Birmingham, AL 35233-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2021 |
Last Update Date | 03/01/2021 |