Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1-153660 | AL |
NPI | 1447722541 |
---|---|
Provider Name | Emily Calame Gerding |
First Address | Hoover, AL 35244-4337 |
Second Address | Birmingham, AL 35233-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2018 |
Last Update Date | 30/12/2018 |