Doctor Name: | NANCY URSPRUNG |
NPI Number: | 1992129860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-057991 |
Business Practice Address: | 19250 N Mobile St Citronelle, AL - 365222122 |
Business Phone Number: | 2518667454 |
Business Fax Number: | 2518669121 |
Mailing Address: | 251 N Bayou St, MOBILE |
State: | AL |
Postal Code: | 366035827 |
Phone Number: | 2516908847 |
Fax Number: | 2516908859 |
NPI Enumeration Date: | 02/12/2014 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-057991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |