Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1-150360 | AL |
NPI | 1013570068 |
---|---|
Provider Name | Catherine Barton |
First Address | Birmingham, AL 35243-3404 |
Second Address | Birmingham, AL 35243-3404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2019 |
Last Update Date | 22/09/2020 |