Healthcare Provider Details

I. General information

NPI: 1598171274
Provider Name (Legal Business Name): CHRISTY GREENHALGH CRNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 28TH AVE S
HOMEWOOD AL
35209
US

IV. Provider business mailing address

810 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1601
US

V. Phone/Fax

Practice location:
  • Phone: 205-582-3510
  • Fax: 205-918-7546
Mailing address:
  • Phone: 205-558-3484
  • Fax: 205-930-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9311006
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-164647
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: