Alaina Entrekin

Individual provider Active NPI Licensed Practical Nurse · Cullman, AL

NPI 1730767294 · NPPES record last updated Mar 29, 2021

Key facts

NPI
1730767294
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
2-072096 (AL)
Practice address
1909 Commerce Ave
Cullman, AL 35055-6151
Phone
(256) 734-4688
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2-072096ALMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2-072096 AL Yes

Addresses

Primary practice location

1909 Commerce Ave
Cullman, AL 35055-6151

Mailing address

1909 Commerce Ave
Cullman, AL 35055-6151

Other providers in Cullman, AL

All providers in Cullman, AL · Licensed Practical Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.