MEDICARE: STEFFANY THOMAS 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	363L00000X	Nurse Practitioner	1067948	AL

General Provider Information

NPI Number	:	1720068265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFANY THOMAS CRNP

Provider Business Mailing Address
First Line	:	PO BOX 18428
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35804-8428
Country	:	US
Telephone Number	:	256-705-4224
Fax Number	:	256-705-4135

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR SW
Second Line	:	SUITE 400
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-6455
Country	:	US
Telephone Number	:	256-713-1200
Fax Number	:	256-713-1209

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/29/2013

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Directions to “ STEFFANY THOMAS CRNP” Practice Location

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