Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | DO.2622 | AL |
NPI | 1417484676 |
---|---|
Provider Name | Erin Nicole Showalter |
First Address | Tulsa, OK 74127-9005 |
Second Address | Birmingham, AL 35243-3404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2017 |
Last Update Date | 16/11/2021 |