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Contact Information

RENA M BANNISTER, CRNP
2325 PANSY ST SW
SUITE E
HUNTSVILLE, AL35801-3834
 Phone: 256-533-4626
 Fax: 253-533-4710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RENA M BANNISTER · (Female)

NPI Number 1770512329
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # AL 1 021431
  • AL Medicaid 000079656
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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