Healthcare Provider Details

I. General information

NPI: 1932646361
Provider Name (Legal Business Name): ALANA BOLING-ALDACO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 SPRING ST NE
GAINESVILLE GA
30501-3715
US

IV. Provider business mailing address

1488 JESSE JEWELL PKWY SE STE 201
GAINESVILLE GA
30501-3804
US

V. Phone/Fax

Practice location:
  • Phone: 770-532-7179
  • Fax:
Mailing address:
  • Phone: 770-532-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-CRNA191908
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: