MRS. KELLY DENISE MARCANO (NPI# 1427208644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427208644 |
Entity Type | Individual |
Full Name | MRS. KELLY DENISE MARCANO |
Credential | CRNP |
Practice Address |
541 W. College Street Suite 2600 Florence AL 35630-5365 |
Mailing Address |
Po Box 10005 Florence AL 35631-2005 |
Practice Telephone | 2567662600 |
Practice Fax Number | 2567688658 |
Mailing Telephone | 2567647888 |
Mailing Fax Number | 2567601020 |
Enumeration Date | 2008-09-24 |
Last Update Date | 2018-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1-099420 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q027813 | 05 | |
AL | 183248 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
156 Titan Dr, Florence, AL 356301197 | 2567647888 | 2567400694 |
Street Address |
541 W. COLLEGE STREET SUITE 2600 |
City | FLORENCE |
State | AL |
Zip Code | 35630-5365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760585574 | Yabiz Sedghi | Internal Medicine | 541 W. College Street, Suite 1100, Florence, AL 35630-5320 | 2006-09-07 |
1225436488 | Amanda Mccann | Nurse Practitioner | 541 W. College Street, 3200, Florence, AL 35630 | 2014-12-19 |
1528389517 | Dustin Craig Hyatt | Surgery | 541 W. College Street, Suite 3300, Florence, AL 35630 | 2010-06-14 |
1821208497 | Anand Donald Mishra | Internal Medicine | 541 W. College Street, Sutie 1100, Florence, AL 35630 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
Find all providers in zip 35630 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023251386 | April Michelle Brooks | Nurse Practitioner | 541 W. College St, 2400, Florence, AL 35630 | 2009-04-15 |
1861402380 | Beverly S Glover | Nurse Practitioner | 145 E Cheves St, Florence County Health Dept, Florence, SC 29505 | 2006-08-08 |
1194721985 | Deborah Evans Lawrimore | Nurse Practitioner | 901 E Cheves St, Ste 200, Florence, SC 29506-2769 | 2005-06-26 |
1003212952 | Alicia Krummen | Nurse Practitioner | 7505 Burlington Pike, Florence, KY 41042-1513 | 2014-11-04 |
1225382229 | Lawana Venita Mark | Nurse Practitioner | 145 E Cheves St, Florence, SC 29506-2526 | 2012-10-30 |
1871849141 | Ryann Elaine Henley | Nurse Practitioner | 541 W College St, Suite 2600, Florence, AL 35630-5323 | 2012-07-24 |
1265797187 | Cariessa Mcfadden | Nurse Practitioner | 145 E Cheves St, Florence, SC 29506-2526 | 2012-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153542 | Hang In Knoll Gilliam | Nurse Practitioner | 205 Dinner Tree Sq, Huntsville, AL 35811-7504 | 2020-10-28 |
1457966699 | Anna Reynolds | Nurse Practitioner | 3419 Colonnade Pkwy Ste 600, Birmingham, AL 35243-3337 | 2020-09-14 |
1407464308 | Brittany C Mcclendon | Nurse Practitioner | 2505 Us Hwy. 431, Suite A, Women's Center, Boaz, AL 35957 | 2020-07-16 |
1568979292 | Santanna Marie Thomas | Nurse Practitioner | 3000 Meadow Lake Dr Ste 101, Birmingham, AL 35242-0302 | 2018-01-03 |
1407360845 | Megan Renee Brown | Nurse Practitioner | 515 Hospital Dr Ste A, Wetumpka, AL 36092-1626 | 2017-11-21 |
1366964702 | Ashley Leith Hodges | Nurse Practitioner | Lrc 300, 1720 2nd Ave South, Birmingham, AL 35294-1270 | 2017-07-07 |
1346776341 | Omotayo Andrea Pryor | Nurse Practitioner | 252 Whitestone Dr Ne, Huntsville, AL 35810-1079 | 2017-05-11 |
1225577349 | Katie Giles | Nurse Practitioner | 55 Rowe Dr Ste A, Guntersville, AL 35976 | 2017-02-22 |
1710338348 | Lindsay Chuckney Doody | Nurse Practitioner | Uab Women & Infants Center 1700 6th Ave S, Building 176f, Suite 9103, Birmingham, AL 35249-0001 | 2016-06-24 |
1386049856 | Caitlin Edgmon | Nurse Practitioner | 610 Airport Rd Sw Ste 210, Huntsville, AL 35802-4304 | 2014-10-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.