Healthcare Provider Details

I. General information

NPI: 1366787343
Provider Name (Legal Business Name): KRISTEN HOWELL MARTIN CRNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN PAIGE HOWELL

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9100
  • Fax: 205-975-4623
Mailing address:
  • Phone: 205-638-9175
  • Fax: 205-638-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number1-109308
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: