Healthcare Provider Details

I. General information

NPI: 1598703209
Provider Name (Legal Business Name): WINNETTE WARREN-MUSA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5159 PARK TRACE DR
HOOVER AL
35244-4522
US

IV. Provider business mailing address

5159 PARK TRACE DR
HOOVER AL
35244-4522
US

V. Phone/Fax

Practice location:
  • Phone: 205-989-3434
  • Fax: 205-989-6688
Mailing address:
  • Phone: 205-989-3434
  • Fax: 205-989-6688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number1R0070724
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License NumberRN-3525595-L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number224688
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License NumberRN0000132158
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number4088A
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License NumberR69010
License Number StateAR
# 7
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number1-093620
License Number StateAL
# 8
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number52220
License Number StateME
# 9
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN15337
License Number StateTN
# 10
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN132158
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: