Healthcare Provider Details

I. General information

NPI: 1194228296
Provider Name (Legal Business Name): NANCY CRAIG WARREN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 WA GOODGAME PKWY
PELL CITY AL
35125-4072
US

IV. Provider business mailing address

3233 BROOK HIGHLAND TRCE
BIRMINGHAM AL
35242-5814
US

V. Phone/Fax

Practice location:
  • Phone: 205-417-1977
  • Fax: 205-417-1997
Mailing address:
  • Phone: 205-408-5821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-097510
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: