Healthcare Provider Details

I. General information

NPI: 1871566422
Provider Name (Legal Business Name): CECILLE M HAMMER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CECILLE M KNIGHT CRNA

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PRINCETON AVE SW
BIRMINGHAM AL
35211-1303
US

IV. Provider business mailing address

PO BOX 851417
MOBILE AL
36685-1417
US

V. Phone/Fax

Practice location:
  • Phone: 334-386-2051
  • Fax: 334-481-1200
Mailing address:
  • Phone: 251-342-3000
  • Fax: 251-342-3043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1057088
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: