MARNITA MONIQUE STALLWORTH (NPI# 1386250249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386250249 |
Entity Type | Individual |
Full Name | MARNITA MONIQUE STALLWORTH |
Credential | AGPCNP |
Practice Address |
3937 Harmony Ridge Cir W Semmes AL 36575-5282 |
Practice Telephone | 2515890301 |
Mailing Telephone | 2515890301 |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-138448 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-138448 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-138448 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3937 HARMONY RIDGE CIR W |
City | SEMMES |
State | AL |
Zip Code | 36575-5282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962660456 | Robert Bruce King | Dentist | 8000 Moffat Road, Semmes, AL 36575 | 2008-05-30 |
1538236211 | Mobile County Emergency Medical Services Systems Inc. | Ambulance | 10394 Moffett Rd, Semmes, AL 36575 | 2006-11-29 |
1962458984 | Parag Ashok Mahatekar | Emergency Medicine | 7943 Moffett Rd, Semmes, AL 36575 | 2006-05-25 |
1457745408 | Mobile Bay Vision, LLC | Optometrist | 1651 Schillinger Rd N, Semmes, AL 36575 | 2015-03-26 |
1265704480 | Robert Bruce King Dmd, PC | Dentist | 8000 Moffat Rd., Semmes, AL 36575-0748 | 2012-02-03 |
1659929529 | Marva Elaine White X | Technician | 9456 Lake Woods Ct, Semmes, AL 36575-4411 | 2019-09-03 |
1548281835 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2006-07-21 |
1437768777 | Adrienne Wallace | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2020-07-22 |
1427440726 | Christopher Vu | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2015-02-23 |
1760796692 | Larry Raborn Owen | Pharmacist | 9082 Moffett Rd, Semmes, AL 36575-5242 | 2010-08-03 |
Find all providers in zip 36575 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
1619591468 | Cartney Michelle Kesten | Nurse Practitioner | 14006 Percivale Dr Se, Huntsville, AL 35803-1868 | 2020-06-07 |
1235764069 | Bianca A Norris | Nurse Practitioner | 7000 Adventist Blvd Nursing Department, Huntsville, AL 35896-0001 | 2020-03-12 |
1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
1578193892 | Heather Dawn Battles | Nurse Practitioner | 9785 Us Highway 278 W, Altoona, AL 35952-7771 | 2020-01-26 |
1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
1619511367 | Sarah Ashley Freeman | Nurse Practitioner | 363 Riverside Dr, Gadsden, AL 35903-2945 | 2019-11-05 |
1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
1891250262 | Corrie Graveman | Nurse Practitioner | 7070 Taylors Ferry Rd, Bessemer, AL 35023-5565 | 2019-02-09 |
1871057257 | Brittany Hendrix | Nurse Practitioner | 104 Camellia Ave Ste A, Greenville, AL 36037-1514 | 2019-01-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.