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Larry W Dean, CRNP
Adult Health Nurse Practitioner in Birmingham, Alabama
NPI 1710920970

Larry W Dean is an Adult Health Nurse Practitioner based in Birmingham, AL and is specialized in Adult Health. Larry W Dean practices in Birmingham, AL and has the professional credentials of CRNP. The NPI Number for Larry W Dean is 1710920970 and holds a License No. 1-040511 (Alabama).

The current practice location address for Larry W Dean is 619 19Th Street South, Birmingham, AL and can be reached out via phone at 205-934-4011.

Location: 619 19Th Street South, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1710920970
Provider Name
Larry W Dean
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
619 19Th Street South, Birmingham, AL, 35255-5310
Phone Number
205-934-4011
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051505099 01 AL BLUE CROSS
051551249 05 AL
500021681 01 AL RAILROAD MEDICARE
051505098 01 AL BLUE CROSS
891003450 05 AL
institution
Provider Business Practice Location Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-4011
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-4011
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
1-040511 (Alabama)
Definition
Definition to come...
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