Provider Demographics
NPI:1457179673
Name:GREENHILL, KELLY ANNE (CRNP)
Entity type:Individual
Prefix:MISS
First Name:KELLY
Middle Name:ANNE
Last Name:GREENHILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 S MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-6367
Mailing Address - Country:US
Mailing Address - Phone:256-386-4592
Mailing Address - Fax:256-386-5879
Practice Address - Street 1:1300 S MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-6367
Practice Address - Country:US
Practice Address - Phone:256-386-4592
Practice Address - Fax:256-386-5879
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-152077163WE0003X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WE0003XNursing Service ProvidersRegistered NurseEmergency