Healthcare Provider Details

I. General information

NPI: 1609455765
Provider Name (Legal Business Name): RACHEL HAWES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 10/27/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 GRANDVIEW PKWY STE 200
BIRMINGHAM AL
35243-3326
US

IV. Provider business mailing address

2327 HIGHVIEW CT
IRONDALE AL
35210-1014
US

V. Phone/Fax

Practice location:
  • Phone: 205-971-1000
  • Fax:
Mailing address:
  • Phone: 870-897-3219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-170387
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1-170387
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: