ASHLEY LYCURGLUS PETTY CRNP NPI 1841504693

NPI Information

NPI: 1841504693
Provider Name: ASHLEY LYCURGLUS PETTY, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC

PECOS Registration: Yes

Address:
625 19TH ST S
514 JEFFERSON TOWER
BIRMINGHAM, AL
ZIP 35249
Phone: (205) 975-1248
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Ashley Lycurglus Petty, CRNP is a family nurse practitioner in Birmingham, AL with 15 years of experience. Ashley Lycurglus Petty, CRNP NPI is 1841504693. 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:

625 19TH ST S
514 JEFFERSON TOWER
BIRMINGHAM, AL
ZIP 35249-038
Phone: (205) 975-1248

The NPI 1841504693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2010 and was last updated on 4/24/2013.

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	363LF0000X	Nurse Practitioner	Family	1-106022	ALABAMA	Yes

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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