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Individual

THERESA A HANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
600 SAINT CLAIR AVE SW, BLDG 6 SUITE 14, HUNTSVILLE, AL 35801-5008
(256) 536-4700
(256) 536-4117
Mailing address
600 SAINT CLAIR AVE SW, BLDG 6 SUITE 14, HUNTSVILLE, AL 35801-5008

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049736
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051528320
BLUE CROSS BLUE SHIELD AL
AL
01
510-50070
BCBS OF ALABAMA
AL
01
51111375
BCBS OF ALABAMA
AL
01
515-45706
BCBS OF ALABAMA
AL
01
515-45707
BCBS OF ALABAMA
AL
01
515-45708
BCBS OF ALABAMA
AL
01
515-45764
BCBS OF ALABAMA
AL
01
515-94366
BCBS OF ALABAMA
AL
05
528701110
AL
01
CA0084
RR MEDICARE
AL
01
P00214863
RR MEDICARE
AL
Enumeration date
06/12/2006
Last updated
03/24/2011
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