Provider Demographics
NPI:1003964362
Name:CUMBIE, ELIZABETH ANNE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:CUMBIE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 18428
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8428
Mailing Address - Country:US
Mailing Address - Phone:256-705-4224
Mailing Address - Fax:256-705-4135
Practice Address - Street 1:3601 CCI DRIVE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805
Practice Address - Country:US
Practice Address - Phone:256-705-4224
Practice Address - Fax:256-705-4135
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1077775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALCA0084OtherRR MEDICARE
AL515-45315OtherBCBS OF ALABAMA
AL51545912OtherBCBS OF ALABAMA
AL51545915OtherBCBS OF ALABAMA
AL51545916OtherBCBS OF ALABAMA
AL510-50070OtherBCBS OF ALABAMA
AL528701110Medicaid
AL51545913OtherBCBS OF ALABAMA
AL51545908OtherBCBS OF ALABAMA
ALP08252Medicare UPIN
AL510I500049Medicare UPIN
AL528701110Medicaid