Doctor Name: | MR. WILLIAM GRANT ROPER |
NPI Number: | 1285994822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-117798 |
Business Practice Address: | 1704 S Forest Ave Luverne, AL - 360497306 |
Business Phone Number: | 3343353383 |
Business Fax Number: | 3343353078 |
Mailing Address: | 1704 S Forest Ave, LUVERNE |
State: | AL |
Postal Code: | 360497306 |
Phone Number: | 3343353383 |
Fax Number: | 3343353078 |
NPI Enumeration Date: | 05/16/2012 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-117798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |