MEDICARE: ANA SHELBI BINKERD CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	150517	AL

General Provider Information

NPI Number	:	1407682909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA SHELBI BINKERD CRNP

Provider Business Mailing Address
First Line	:	1911 LAY DAM RD
Second Line	:
City	:	CLANTON
State	:	AL
Zip	:	35045-8351
Country	:	US
Telephone Number	:	205-280-3360
Fax Number	:	205-280-3369

Provider Business Practice Location Address
First Line	:	1911 LAY DAM RD
Second Line	:
City	:	CLANTON
State	:	AL
Zip	:	35045-8351
Country	:	US
Telephone Number	:	205-280-3360
Fax Number	:	205-280-3369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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