Healthcare Provider Details

I. General information

NPI: 1083012033
Provider Name (Legal Business Name): ANNA ARIEL FLOYD CHANG CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2014
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 PRINCETON AVE SW
BIRMINGHAM AL
35211-1320
US

IV. Provider business mailing address

PO BOX 12366
BIRMINGHAM AL
35202-2366
US

V. Phone/Fax

Practice location:
  • Phone: 205-397-8914
  • Fax: 205-206-8366
Mailing address:
  • Phone: 205-397-8914
  • Fax: 205-206-8366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-127319
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1-127319
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: