Individual
MARY M DANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-3513
(205) 934-4011
(205) 297-9411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1-80088
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1080088
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935696
—
AL
01
—
051532701
BC OF AL
AL
Enumeration date
05/19/2006
Last updated
10/21/2019
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