Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Kathryn Hattaway, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1194198135

Holly Kathryn Hattaway, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2015, 11 years ago. Licensed in Alabama.

Years since qualifying
11
Licensed in
AL
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1719 6th Ave S
Birmingham, AL 35294-0001
Phone: (205) 975-5587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 1-136564 (AL)

Record details

NPI number1194198135
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 12, 2015
Last updated in NPPESNovember 12, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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