Provider Demographics
NPI:1679845531
Name:HEMSTREET, DANA LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LYNN
Last Name:HEMSTREET
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 RICE MINE ROAD LOOP
Mailing Address - Street 2:STE 104
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2421
Mailing Address - Country:US
Mailing Address - Phone:205-342-2552
Mailing Address - Fax:205-345-8365
Practice Address - Street 1:100 RICE MINE ROAD LOOP
Practice Address - Street 2:SUITE 104
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2425
Practice Address - Country:US
Practice Address - Phone:205-342-2552
Practice Address - Fax:205-345-8365
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-111625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily