Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 1-035619 | AL |
NPI | 1013983717 |
---|---|
Provider Name | Wilma Irwin Feige |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 31/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009981850 | (05) | AL |
03307018 | MISSISSIPPI MEDICAID (01) | MS |
051505381 | (05) | AL |
051505381 | BLUE CROSS (01) | AL |
051505383 | BLUE CROSS (01) | AL |
500022973 | RAILROAD MEDICARE (01) | AL |
P49996 | (02) | AL |