Provider Demographics
NPI:1770824591
Name:MCBAY, KATHERINE BRUMLEY (CRNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BRUMLEY
Last Name:MCBAY
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 1:2850 HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35652-6046
Mailing Address - Country:US
Mailing Address - Phone:256-247-1331
Mailing Address - Fax:256-247-9791
Practice Address - Street 1:2850 HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35652-6046
Practice Address - Country:US
Practice Address - Phone:256-247-1331
Practice Address - Fax:256-247-9791
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-120327363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner