VIVIAN N HANNON NPI 1659324887

NPI Information

VIVIAN N HANNON is a primary care nurse practitioner in Guntersville, AL. VIVIAN N HANNON NPI is 1659324887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Guntersville Family Practice Clinic.

The provider's business location address is:

1241 BLOUNT AVE
GUNTERSVILLE, AL
ZIP 35976-831
Phone: (256) 582-6377
Fax: (256) 582-6376

The provider's authorized official is Vivian Nell Hannon .
The authorized official title is Owner and has the following contact phone number (256) 582-6377.

The CLIA number assigned to this NPI record is 01D0917859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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