Individual provider · Type 1 NPI

Ann Bourgeois Lane, CRNP

Family Nurse Practitioner · Huntsville, AL

NPI number 1215376751 Active

Practice location

101 Bob Wallace Ave SW Ste E
Huntsville, AL 35801-3843

Call (256) 539-5339 Map

Fax (256) 536-5111

Mailing address

1321 Huntsville Hwy
Fayetteville, TN 37334-3603

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPN0000019106 (TN)
Family Nurse Practitioner Primary 363LF0000X1-035725 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1215376751

Ann Bourgeois Lane, CRNP's National Provider Identifier is 1215376751, issued on Jun 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Huntsville, AL. The record was last updated on Mar 28, 2018.