Provider Demographics
NPI:1265468813
Name:ENGLAND, REX REAGAN (CRNA)
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:REAGAN
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 HUGH DANIEL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7146
Mailing Address - Country:US
Mailing Address - Phone:205-313-7252
Mailing Address - Fax:205-313-7272
Practice Address - Street 1:7500 HUGH DANIEL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7146
Practice Address - Country:US
Practice Address - Phone:205-313-7252
Practice Address - Fax:205-313-7272
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-042922367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered