Healthcare Provider Details

I. General information

NPI: 1497365613
Provider Name (Legal Business Name): LANEY R POOLE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 BRANTON CT
NEW MARKET AL
35761-7776
US

IV. Provider business mailing address

129 BRANTON CT
NEW MARKET AL
35761-7776
US

V. Phone/Fax

Practice location:
  • Phone: 800-342-2898
  • Fax:
Mailing address:
  • Phone: 800-342-2898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-097620
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-097620
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30872
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: