CARLY MASHBURN CRNP NPI 1699404111

NPI Information

  • NPI: 1699404111
  • Provider Name: CARLY MASHBURN, CRNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1007 GOODYEAR AVE
    GADSDEN, AL
    ZIP 35903
  • Phone: (256) 494-4661

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NPI Details

Carly Mashburn, CRNP is an acute care nurse practitioner in Gadsden, AL. Carly Mashburn, CRNP NPI is 1699404111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1007 GOODYEAR AVE
GADSDEN, AL
ZIP 35903-195
Phone: (256) 494-4661

The NPI 1699404111 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/9/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care1-157931ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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