Provider Demographics
NPI:1336639491
Name:PLEASANTON, HARVEY ANDREW JR (CRNP)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:ANDREW
Last Name:PLEASANTON
Suffix:JR
Gender:M
Credentials:CRNP
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Mailing Address - Street 1:1912 AL HIGHWAY 157
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-0609
Mailing Address - Country:US
Mailing Address - Phone:256-737-2000
Mailing Address - Fax:256-737-2152
Practice Address - Street 1:1912 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0609
Practice Address - Country:US
Practice Address - Phone:256-737-2000
Practice Address - Fax:256-737-2152
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2022-11-29
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Provider Licenses
StateLicense IDTaxonomies
AL1-144713363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner