Healthcare Provider Details

I. General information

NPI: 1467878421
Provider Name (Legal Business Name): TANYA RAWLINGS FLEMING RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 GLORY WAY
FLORENCE AL
35633-1640
US

IV. Provider business mailing address

2868 ACTON RD
VESTAVIA AL
35243-2502
US

V. Phone/Fax

Practice location:
  • Phone: 256-765-2230
  • Fax: 256-774-4573
Mailing address:
  • Phone: 205-968-8360
  • Fax: 205-968-8361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-117935
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: