LARRY W DEAN CRNP NPI 1710920970

NPI Information

NPI: 1710920970
Provider Name: LARRY W DEAN, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011
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Larry W Dean, CRNP is an adult health nurse practitioner in Birmingham, AL. Larry W Dean, CRNP NPI is 1710920970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/20/2011.

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
1	363LA2200X	Nurse Practitioner	Adult Health	1-040511	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051505099	OTHER	ALABAMA	BLUE CROSS
2	051505098	OTHER	ALABAMA	BLUE CROSS
3	051551249	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
4	891003450	MEDICAID	ALABAMA
5	051551249	MEDICAID	ALABAMA
6	500021681	OTHER	ALABAMA	RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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