Individual provider · Type 1 NPI

Ashley Nichole Hanback, CRNP

Family Nurse Practitioner · Madison, AL

NPI number 1962001636 Active

Practice location

600 Sun Temple Dr
Madison, AL 35758-8643

Mailing address

222 Bull Run
Killen, AL 35645-7949

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-151036 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1962001636

Ashley Nichole Hanback, CRNP's National Provider Identifier is 1962001636, issued on Oct 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, AL. The record was last updated on Oct 22, 2020.