person
Mary Lou Quattlebaum, CRNP
General Practice Registered Nurse in Huntsville, Alabama
NPI 1639152994

Mary Lou Quattlebaum is a General Practice Registered Nurse based in Huntsville, AL and is specialized in General Practice. Mary Lou Quattlebaum practices in Huntsville, AL and has the professional credentials of CRNP. The NPI Number for Mary Lou Quattlebaum is 1639152994 and holds a License No. 1076934 (Alabama).

The current practice location address for Mary Lou Quattlebaum is 751 Pleasant Row Nw, Huntsville, AL and can be reached out via phone at 256-533-6311 and via fax at 256-536-0801.

Location: 751 Pleasant Row Nw, Huntsville, AL, 35804-8488
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Provider Profile Details
NPI Number
1639152994
Provider Name
Mary Lou Quattlebaum
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
751 Pleasant Row Nw, Huntsville, AL, 35804-8488
Phone Number
256-533-6311
Fax Number
256-536-0801
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51530690 01 AL BCBS OF AL
891010260 05 AL
institution
Provider Business Practice Location Address Details
Address
751 Pleasant Row Nw
City
State
Zip
35816-2537
Phone Number
256-533-6311
Fax Number
256-536-0801
person
Provider Business Mailing Address Details
Address
751 Pleasant Row Nw
City
State
Zip
35816-2537
Phone Number
256-533-6311
Fax Number
256-536-0801
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
1076934 (Alabama)
Definition
Definition to come...
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