Mary Lou Quattlebaum in Huntsville - General Practice
Mary Lou Quattlebaum - NPI 1639152994
Mary Lou Quattlebaum is a General Practice in Huntsville, Alabama. Mary Lou Quattlebaum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Lou Quattlebaum is 1639152994. The last update date is 2013-09-24.
Mary Lou Quattlebaum's current location address is Po Box 18488, Huntsville, Alabama. You can contact this provider via phone number 2565336311 and fax number 2565360801. The mailing address for Mary Lou Quattlebaum is Po Box 18488, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou Quattlebaum |
|---|---|
| Address | Po Box 18488, Huntsville, Alabama |
| Phone Number | 2565336311 |
| Fax Number | 2565360801 |
| Sole Proprietor | Y |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1639152994 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
| Address | Po Box 18488 |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358048488 |
| Phone Number | 2565336311 |
| Fax Number | 2565360801 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | 1076934 |
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Definition: A registered nurse who provides general nursing care across health settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51530690 | AL | BCBS OF AL | |
| 891010260 | AL | -- |
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What is the unique 10-digit identifier code issued to Mary Lou Quattlebaum by the Centers for Medicare & Medicaid Services?
The Mary Lou Quattlebaum has been assigned the NPI (National Provider Identifier) 1639152994 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Lou Quattlebaum is physically located?
The Mary Lou Quattlebaum is physically situated at the following address: Po Box 18488, Huntsville, AL, 358048488.
What is Mary Lou Quattlebaum's area of expertise and its corresponding taxonomy classification?
The Mary Lou Quattlebaum's field of specialization is General Practice, and it falls under the taxonomy code 163Wg0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Lou Quattlebaum receive its 1639152994 assignment from the Centers for Medicare & Medicaid Services?
The Mary Lou Quattlebaum was assigned its 1639152994 by the Centers for Medicare & Medicaid Services on 2005-11-21.
As of what date were the Mary Lou Quattlebaum's details last updated?
The information pertaining to the Mary Lou Quattlebaum, including its address, specialty, and other details, was most recently updated on 2013-09-24.