Healthcare Provider Details

I. General information

NPI: 1215129226
Provider Name (Legal Business Name): BELINDA PENDLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 S COURT ST SUITE 300
FLORENCE AL
35630-5645
US

IV. Provider business mailing address

2868 ACTON RD
BIRMINGHAM AL
35243-2502
US

V. Phone/Fax

Practice location:
  • Phone: 256-765-2230
  • Fax: 256-765-2084
Mailing address:
  • Phone: 205-968-8360
  • Fax: 205-968-8361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1-072759
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: