Stanley Farrell Smallwood CRNP-APRN-BC

NPI 1447423009 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1447423009
Gender Male
Enumeration Date 04/03/2008
Last Updated 02/19/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
20104 SWANNER BLVD
SUITE 4
TANNER AL, 35671, US
Phone (256) 686-3334
Fax (256) 686-3339
Business Location
20104 SWANNER BLVD
SUITE 4
TANNER AL, 35671-3651, US
Phone (256) 686-3334
Fax (256) 686-3339
Toxanomy
Taxonomy Code 363LF0000X
License State Alabama
License Number 1-088147
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According to our database, Stanley Farrell Smallwood CRNP-APRN-BC NPI is 1447423009, taxonomy code is 363LF0000X and license number is 1-088147, license state is located at Alabama. Stanley Farrell Smallwood CRNP-APRN-BC physically located at 20104 Swanner Blvd, Tanner AL, 35671. NPI Number Stanley Farrell Smallwood CRNP-APRN-BC has the Individual type.

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1447423009 NPI number is provided on an as is basis without warranty of any kind. 1447423009 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley Farrell Smallwood CRNP-APRN-BC are for informational purposes only.