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Individual

MANDY SHAY LANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
307 MAIN ST NW, HANCEVILLE, AL 35077-5076
(256) 352-4767
(256) 352-4797
Mailing address
307 MAIN ST NW, HANCEVILLE, AL 35077-5076
(256) 352-4767
(256) 352-4797

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-108414
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000025
AL
Enumeration date
12/09/2014
Last updated
06/04/2025
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