Healthcare Provider Details

I. General information

NPI: 1396995734
Provider Name (Legal Business Name): HANNE SYBIL HARBISON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ZRB 242 1530 3RD AVENUE S
BIRMINGHAM AL
35294-0001
US

IV. Provider business mailing address

6823 SHERMAN ST
PHILADELPHIA PA
19119-3419
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-1548
  • Fax: 205-930-1196
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1-112507
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: