Individual
DIANA MARIE HANKEY UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3007 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801-5393
(256) 799-2500
Mailing address
2508 RILEYS PASS SE, HUNTSVILLE, AL 35803-2975
(256) 270-9493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1115553
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510G700038
MEDICARE GROUP NUMBER
AL
Enumeration date
01/28/2008
Last updated
09/08/2011
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