Individual
VIVIAN NELL HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1241 BLOUNT AVENUE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
(256) 582-6376
Mailing address
354 CARDESSA LANE, GRANT, AL 35747-9222
(256) 728-2330
(256) 582-6376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1066616
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031359
—
AL
01
—
051031359
BCBS OF AL
AL
01
—
51031359
BCBS
AL
Enumeration date
01/18/2006
Last updated
09/23/2024
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