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Staci Hardy Alam, NURSEPRACTITIONER
Family Nurse Practitioner in Mobile, Alabama
NPI 1962907618

Staci Hardy Alam is a Family Nurse Practitioner based in Mobile, AL and is specialized in Family. Staci Hardy Alam practices in Mobile, AL and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Staci Hardy Alam is 1962907618 and holds a License No. 1-094441 (Alabama).

The current practice location address for Staci Hardy Alam is 5955 Airport Blvd, Mobile, AL and can be reached out via phone at 251-633-0573 and via fax at 251-633-7367.

Location: 5955 Airport Blvd, Mobile, AL, 36670-0987
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Provider Profile Details
NPI Number
1962907618
Provider Name
Staci Hardy Alam
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
5955 Airport Blvd, Mobile, AL, 36670-0987
Phone Number
251-633-0573
Fax Number
251-633-7367
Provider Enumeration Date
03/26/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
512-11027 01 AL BCBS
Z54594 01 AL VIVA HEALTH
A00613A 01 AL MEDICARE
218235 05 AL
219701 05 AL
512-10626 01 AL BCBS
P02048503 01 AL RR MEDICARE
6775695 01 AL UNITED HEALTHCARE
6812694 01 AL AETNA
institution
Provider Business Practice Location Address Details
Address
5955 Airport Blvd
City
State
Zip
36608
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider Business Mailing Address Details
Address
5955 Airport Blvd
City
State
Zip
36608
Phone Number
251-633-0573
Fax Number
251-633-7367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-094441 (Alabama)
Definition
Definition to come...
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