=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629605407
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WHITNEY NICOLE LORENE TODD CRNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2020
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 171 CARRAWAY DR
-----------------------------------------------------
City | WINFIELD
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35594-5067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-487-4405
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2665 COUNTY HIGHWAY 19
-----------------------------------------------------
City | HALEYVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35565-5052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-269-5832
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 1-173714
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1-173714
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------