Provider Demographics
NPI:1730593625
Name:LIVINGSTON, HANNAH L (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:L
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:13530 HIGHWAY 96
Mailing Address - Street 2:
Mailing Address - City:MILLPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35576-2522
Mailing Address - Country:US
Mailing Address - Phone:205-662-3207
Mailing Address - Fax:205-662-4348
Practice Address - Street 1:13530 HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:MILLPORT
Practice Address - State:AL
Practice Address - Zip Code:35576-2522
Practice Address - Country:US
Practice Address - Phone:205-662-3207
Practice Address - Fax:205-662-4348
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-126541363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner