Provider Demographics
NPI:1609135672
Name:HENNIGAN, BARBARA HALINA (ACNP-BC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:HALINA
Last Name:HENNIGAN
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 WHITESBURG DR SE STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4501
Mailing Address - Country:US
Mailing Address - Phone:256-883-0107
Mailing Address - Fax:256-883-0207
Practice Address - Street 1:2121 WHITESBURG DR SE STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4501
Practice Address - Country:US
Practice Address - Phone:256-883-0107
Practice Address - Fax:256-883-0207
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-113006363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care