Healthcare Provider Details

I. General information

NPI: 1063285013
Provider Name (Legal Business Name): ANDREA SHAY CORLEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 JAMES N HOVATER RD
RUSSELLVILLE AL
35653
US

IV. Provider business mailing address

101 JAMES N HOVATER RD
RUSSELLVILLE AL
35653
US

V. Phone/Fax

Practice location:
  • Phone: 256-332-6208
  • Fax:
Mailing address:
  • Phone: 256-332-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-179792
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: