Provider Demographics
NPI:1366787343
Name:MARTIN, KRISTEN HOWELL (CRNP-AC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:HOWELL
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CRNP-AC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:PAIGE
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-9175
Mailing Address - Fax:205-638-6065
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9100
Practice Address - Fax:205-975-4623
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-109308363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care