Healthcare Provider Details

I. General information

NPI: 1619813813
Provider Name (Legal Business Name): MA. ISABEL NOLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ISABEL NOLAN

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 2ND AVE N
CLANTON AL
35045-3413
US

IV. Provider business mailing address

402 2ND AVE N
CLANTON AL
35045-3413
US

V. Phone/Fax

Practice location:
  • Phone: 205-200-0992
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-126831
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: