Provider Demographics
NPI:1992057111
Name:PRICE, MICHELLE SPANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:SPANN
Last Name:PRICE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:LOCKETT
Other - Last Name:SPANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2660 10TH AVE S
Mailing Address - Street 2:STE 528
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1625
Mailing Address - Country:US
Mailing Address - Phone:205-933-9258
Mailing Address - Fax:205-933-6504
Practice Address - Street 1:THT 422 1530 3RD AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0006
Practice Address - Country:US
Practice Address - Phone:205-934-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-122418363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care