Lacey Beard Mixon, CRNP Valid NPI

Individual provider · Nurse Practitioner · Dothan, AL

NPI

1295218774

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

1-37700 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2018-09-11

Last updated

2018-09-11