Provider Demographics
NPI:1669934493
Name:VEREN, ANDIE (CRNP)
Entity type:Individual
Prefix:
First Name:ANDIE
Middle Name:
Last Name:VEREN
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 1:2001 PROVIDENCE PARK
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4680
Mailing Address - Country:US
Mailing Address - Phone:205-209-4702
Mailing Address - Fax:205-407-4072
Practice Address - Street 1:2001 PROVIDENCE PARK
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4680
Practice Address - Country:US
Practice Address - Phone:205-209-4702
Practice Address - Fax:205-407-4072
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-166266363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse