Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 1-023026 | AL |
NPI | 1083803712 |
---|---|
Provider Name | Cynthia Marie Fpalmer |
First Address | Birmingham, AL 35206-2845 |
Second Address | Birmingham, AL 35206-2845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2007 |
Last Update Date | 18/10/2007 |