Provider Demographics
NPI:1104169176
Name:ABERNATHY, LORA SHUEY (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LORA
Middle Name:SHUEY
Last Name:ABERNATHY
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 1:717 PRATT AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3645
Mailing Address - Country:US
Mailing Address - Phone:256-808-2273
Mailing Address - Fax:256-880-6543
Practice Address - Street 1:717 PRATT AVE NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3645
Practice Address - Country:US
Practice Address - Phone:256-808-2273
Practice Address - Fax:256-880-6543
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-040352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-040352OtherALABAMA BOARD OF NURSING