Organization
BACK TO BASICS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN SCOTT CRNP (OWNER)
(256) 302-3773
Entity
Organization
Contact information
Practice address
5730 US HIGHWAY 431, ALBERTVILLE, AL 35950-0234
(256) 907-9700
(256) 907-9724
Mailing address
5730 US HIGHWAY 431, ALBERTVILLE, AL 35950-0234
(256) 907-9700
(256) 907-9724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245695667
NPI
AL
01
—
1588103295
NPI
AL
01
—
1801102959
NPI
AL
01
—
1942830716
NPI
AL
Enumeration date
02/29/2020
Last updated
06/10/2020
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