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Contact Information

LUIZ JUAN, CRNP
2605 GAULT AVE N STE 200
FORT PAYNE, AL35967-3700
 Phone: 256-996-9121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for LUIZ JUAN · (Male)

NPI # 1912446337
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/17/2017
Last updated 10/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-132461
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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