Healthcare Provider Details

I. General information

NPI: 1730420944
Provider Name (Legal Business Name): ANNE MCCARY ADKINS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MARGARET MCCARY CHILDERS CRNP

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 VALLEYDALE RD SUITE 100
HOOVER AL
35244-2086
US

IV. Provider business mailing address

2270 VALLEYDALE RD SUITE 100
HOOVER AL
35244-2086
US

V. Phone/Fax

Practice location:
  • Phone: 205-982-3596
  • Fax: 205-982-4483
Mailing address:
  • Phone: 205-982-3596
  • Fax: 205-982-4483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1059408
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: