Healthcare Provider Details

I. General information

NPI: 1508844580
Provider Name (Legal Business Name): APRIL RUF HANEY C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 W MARKET ST STE 16
ATHENS AL
35611-2454
US

IV. Provider business mailing address

1005 W MARKET ST STE 16
ATHENS AL
35611-2454
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-0801
  • Fax: 256-232-5918
Mailing address:
  • Phone: 256-232-0801
  • Fax: 256-232-5918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1083680
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: