Healthcare Provider Details

I. General information

NPI: 1386457612
Provider Name (Legal Business Name): KATIE ALBRIGHT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 VETERANS DR STE 205B
FLORENCE AL
35630-4930
US

IV. Provider business mailing address

146 MALIBU LN
KILLEN AL
35645-7561
US

V. Phone/Fax

Practice location:
  • Phone: 256-767-0081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-145874
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: