Healthcare Provider Details

I. General information

NPI: 1447860218
Provider Name (Legal Business Name): DONNA BUSENLEHNER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 06/23/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 20TH ST SOUTH CCB 4TH FLOOR
BIRMINGHAM AL
35294-7011
US

IV. Provider business mailing address

908 20TH ST S STE 4
BIRMINGHAM AL
35205-2610
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4108
  • Fax:
Mailing address:
  • Phone: 205-934-4108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-152744
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1152744
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: