Mary Penfield Lane in Birmingham - Family
Mary Penfield Lane - NPI 1871634683
Mary Penfield Lane is a Family in Birmingham, Alabama. Mary Penfield Lane practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Penfield Lane is 1871634683. The last update date is 2007-07-09.
Mary Penfield Lane's current location address is 5369 Pineywood Rd, Birmingham, Alabama. You can contact this provider via phone number 2059916426. The mailing address for Mary Penfield Lane is 5369 Pineywood Rd, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Penfield Lane |
|---|---|
| Address | 5369 Pineywood Rd, Birmingham, Alabama |
| Phone Number | 2059916426 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1871634683 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5369 Pineywood Rd |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352423424 |
| Phone Number | 2059916426 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1-025087 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51529456 | AL | BCBS OF AL | |
| 51556190 | AL | BCBS OF AL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Penfield Lane?
The Mary Penfield Lane has been issued the NPI (National Provider Identifier) 1871634683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Penfield Lane is physically located?
The Mary Penfield Lane is physically situated at the following address: 5369 Pineywood Rd, Birmingham, AL, 352423424.
What is Mary Penfield Lane's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Penfield Lane's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871634683 to Mary Penfield Lane?
The Centers for Medicare & Medicaid Services originally issued the 1871634683 to Mary Penfield Lane on 2007-02-12.
As of what date was the information pertaining to Mary Penfield Lane, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Penfield Lane, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN