Provider Demographics
NPI:1346254505
Name:HALLMAN, MELANIE M. GIBBONS (MSN,CRNP,CEN)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE M.
Middle Name:GIBBONS
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:MSN,CRNP,CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180-3670
Mailing Address - Country:US
Mailing Address - Phone:205-590-1615
Mailing Address - Fax:
Practice Address - Street 1:1201 11TH AVE S
Practice Address - Street 2:SUITE 101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3410
Practice Address - Country:US
Practice Address - Phone:205-930-9895
Practice Address - Fax:205-939-3253
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1044665363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care