Provider Demographics
NPI:1235998139
Name:CRONAN, ABBY GAIL (CRNP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:GAIL
Last Name:CRONAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-0649
Mailing Address - Country:US
Mailing Address - Phone:256-638-9161
Mailing Address - Fax:256-638-9164
Practice Address - Street 1:504 MCCURDY AVE S STE 6
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986-5254
Practice Address - Country:US
Practice Address - Phone:256-638-9161
Practice Address - Fax:256-638-9164
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-165217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily