Healthcare Provider Details

I. General information

NPI: 1629812326
Provider Name (Legal Business Name): HANNAH KITTLE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

694 AL 75N
ALBERTVILLE AL
35951
US

IV. Provider business mailing address

1466 COUNTY ROAD 24
CROSSVILLE AL
35962-4493
US

V. Phone/Fax

Practice location:
  • Phone: 256-558-4393
  • Fax: 385-900-1632
Mailing address:
  • Phone: 256-557-2568
  • Fax: 385-900-1632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-183154
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: