Healthcare Provider Details

I. General information

NPI: 1578851838
Provider Name (Legal Business Name): HANNAH L NIXON AUD CCCA FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 01/04/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ROWE DR STE B
GUNTERSVILLE AL
35976-7366
US

IV. Provider business mailing address

55 ROWE DR STE B
GUNTERSVILLE AL
35976-7366
US

V. Phone/Fax

Practice location:
  • Phone: 256-571-8450
  • Fax: 256-840-4584
Mailing address:
  • Phone: 256-571-8450
  • Fax: 256-840-4584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1086A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: