Healthcare Provider Details

I. General information

NPI: 1295364180
Provider Name (Legal Business Name): VIRGINIA HOWELL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 04/30/2023
Certification Date: 04/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S
BIRMINGHAM AL
35205-1200
US

IV. Provider business mailing address

2700 10TH AVE S STE 306
BIRMINGHAM AL
35205-1248
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-4020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1-169110
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-169110
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: