Provider Demographics
NPI:1447629670
Name:ALANA HANEY FAMILY MEDICINE
Entity type:Organization
Organization Name:ALANA HANEY FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPAS,PA-C,RN-C,CDDN
Authorized Official - Phone:423-710-4771
Mailing Address - Street 1:395 HUNT RD SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-8857
Mailing Address - Country:US
Mailing Address - Phone:423-710-4771
Mailing Address - Fax:855-629-8688
Practice Address - Street 1:2401 N OCOEE ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3853
Practice Address - Country:US
Practice Address - Phone:423-710-4771
Practice Address - Fax:855-629-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA0000001509261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care