1346752490 NPI number — SARA KIMBRELL HASENBEIN CRNP

Table of content: (NPI 1134508922)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346752490 NPI number — SARA KIMBRELL HASENBEIN CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HASENBEIN
Provider First Name:
SARA
Provider Middle Name:
KIMBRELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346752490
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
665 MAGNOLIA CREST CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ODENVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35120-2403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-689-5670
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 S. 19TH STREET
Provider Second Line Business Practice Location Address:
LHR 112
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35294
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-5526
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2100X , with the licence number:  1-149832 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)