Provider Demographics
NPI:1538603543
Name:BEST, CALLIE EDGE (CRNP)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:EDGE
Last Name:BEST
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 1:323 BUTTERNUT DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5761
Mailing Address - Country:US
Mailing Address - Phone:343-322-1373
Mailing Address - Fax:
Practice Address - Street 1:815 JACKSON TRACE RD
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-1504
Practice Address - Country:US
Practice Address - Phone:334-567-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219899363LF0000X
AL1-129449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-129449OtherALABAMA BOARD OF NURSING , CRNP