Provider Demographics
NPI:1407309800
Name:HANDLEY, AMNA KHAN (MSN, BSN, RN, CIC)
Entity Type:Individual
Prefix:MRS
First Name:AMNA
Middle Name:KHAN
Last Name:HANDLEY
Suffix:
Gender:F
Credentials:MSN, BSN, RN, CIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-9749
Mailing Address - Country:US
Mailing Address - Phone:706-844-3365
Mailing Address - Fax:
Practice Address - Street 1:198 RUTLEDGE DR NW
Practice Address - Street 2:
Practice Address - City:SUGAR VALLEY
Practice Address - State:GA
Practice Address - Zip Code:30746-5232
Practice Address - Country:US
Practice Address - Phone:706-625-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-179895163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse