Provider Demographics
NPI:1033008149
Name:GILES, LANI (CRNP)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11730A WINDY WOODS
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-8693
Mailing Address - Country:US
Mailing Address - Phone:251-213-1434
Mailing Address - Fax:
Practice Address - Street 1:23 MIDTOWN PARK W STE B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4139
Practice Address - Country:US
Practice Address - Phone:251-675-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-04731163W00000X
ALF07250054363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse