Most Relevant Information
Provider Data
| NPI Number: | 1003486143 |
| Provider Name: | AMY BRISTER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 1-140165 |
Most Important Dates
| Enumeration Date: | 06/30/2021 |
| Last Updated: | 06/30/2021 |
Provider Practice Location
708 11TH ST APT 307
TUSCALOOSA
AL
354013182
Practice Location Phone/Fax
| Phone: | 2566837496 |
| Fax: |
Provider Mailing Location
708 11TH ST APT 307
TUSCALOOSA
AL
354013182
Provider Mailing Phone/Fax
| Phone: | 2566837496 |
| Fax: |