FAKHRA AHMAD-BODLA N.P.
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1285762344- Provider Type
- Individual Provider (NPI-1)
- Credentials
- N.P.
- Status
- Active
Contact & Location
- Address
- 400 SUN TEMPLE DR, MADISON, AL, 357585924
- Phone
- (256) 774-5524
- Fax
- (256) 774-5523
Specialties & Taxonomies
Nurse Practitioner, Family
License: TN #APN0000013314
Nurse Practitioner, Family
License: CA #14489
Nurse Practitioner, Family
Primary License: AL #1-113025