Doctor Name: | DARLENE SANTAMOUR |
NPI Number: | 1245656511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 105957 |
Business Practice Address: | 1110 N Chalkville Rd Suite 120 Trussville, AL - 351731083 |
Business Phone Number: | 2056551092 |
Business Fax Number: | |
Mailing Address: | 1110 N Chalkville Rd, Suite 120 TRUSSVILLE |
State: | AL |
Postal Code: | 351731083 |
Phone Number: | 2056551092 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 105957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |