Healthcare Provider Details

I. General information

NPI: 1508174251
Provider Name (Legal Business Name): NANCY ELIZABETH REGISTER C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S FRANKLIN DR
TROY AL
36081-3812
US

IV. Provider business mailing address

201 MONROE ST SUITE 1386
MONTGOMERY AL
36104-3735
US

V. Phone/Fax

Practice location:
  • Phone: 334-566-2860
  • Fax: 334-566-8534
Mailing address:
  • Phone: 334-206-7959
  • Fax: 334-206-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-052692
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: