Provider Demographics
NPI:1407682909
Name:BINKERD, ANA SHELBI (CRNP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:SHELBI
Last Name:BINKERD
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 1:1911 LAY DAM RD
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-8351
Mailing Address - Country:US
Mailing Address - Phone:205-280-3360
Mailing Address - Fax:205-280-3369
Practice Address - Street 1:1911 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-8351
Practice Address - Country:US
Practice Address - Phone:205-280-3360
Practice Address - Fax:205-280-3369
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL150517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily