Provider Demographics
NPI:1578924304
Name:ERDNER, CARRIE BROWN (CRNP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:BROWN
Last Name:ERDNER
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 1:3626 MEMORIAL PKWY SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5320
Mailing Address - Country:US
Mailing Address - Phone:256-715-7483
Mailing Address - Fax:
Practice Address - Street 1:3626 MEMORIAL PKWY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5320
Practice Address - Country:US
Practice Address - Phone:256-715-7483
Practice Address - Fax:256-715-7414
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-135493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily