Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 1-099531 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 1-099531 | AL |
NPI | 1073068516 |
---|---|
Provider Name | Hua Lin |
First Address | Vestavia, AL 35226-3935 |
Second Address | Birmingham, AL 35205-4998 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2016 |
Last Update Date | 08/03/2017 |