Provider Demographics
NPI:1437908191
Name:COMERFORD, ADRIANA (DNP, CRNA)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:COMERFORD
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8720 ROLLING OAKS LN
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3080
Mailing Address - Country:US
Mailing Address - Phone:251-222-5789
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1025
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36533-1025
Practice Address - Country:US
Practice Address - Phone:251-990-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-162611367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered