Doctor Name: | PATRICIA WARREN WITTIG |
NPI Number: | 1568785483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP-BC |
License Number: | 1-033136 |
Business Practice Address: | 2704 20th St S Suite 104 Homewood, AL - 352091924 |
Business Phone Number: | 2054128599 |
Business Fax Number: | 2053832425 |
Mailing Address: | 2704 20th St S, Suite 104 HOMEWOOD |
State: | AL |
Postal Code: | 352091924 |
Phone Number: | 2054128599 |
Fax Number: | 2053832425 |
NPI Enumeration Date: | 03/05/2010 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1-033136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |