Healthcare Provider Details

I. General information

NPI: 1891853800
Provider Name (Legal Business Name): NANCY SCOTT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 BROOKWOOD MEDICAL CTR DR SUITE 508
BIRMINGHAM AL
35209-6899
US

IV. Provider business mailing address

2006 BROOKWOOD MEDICAL CTR DR SUITE 508
BIRMINGHAM AL
35209-6899
US

V. Phone/Fax

Practice location:
  • Phone: 205-870-9784
  • Fax: 205-803-1980
Mailing address:
  • Phone: 205-870-9784
  • Fax: 205-803-1980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-038753
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: