Individual provider · Type 1 NPI
Anquenetta Michelle Pendleton Khan
Primary Care Nurse Practitioner · Birmingham, AL
NPI number
1174464499
Active
Practice location
7278 Cahaba Valley Rd Apt 914B
Birmingham, AL 35242-8410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1-118517 (AL) |
| Gerontology Nurse Practitioner | 363LG0600X | 1-118517 (AL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1174464499
Anquenetta Michelle Pendleton Khan's National Provider Identifier is 1174464499, issued on Apr 2, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Birmingham, AL. The record was last updated on Apr 2, 2026.