MEDICARE: CHARLIE ANNA KROELINGER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1-116835	AL

General Provider Information

NPI Number	:	1538697784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLIE ANNA KROELINGER CRNP

Provider Business Mailing Address
First Line	:	730 COOL SPRINGS BLVD STE 500
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-7331
Country	:	US
Telephone Number	:	877-663-1333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 CORPORATE DR STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2733
Country	:	US
Telephone Number	:	877-663-1333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	03/13/2024

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