Provider Demographics
NPI:1487171104
Name:WEAR, REANN W (CRNP)
Entity type:Individual
Prefix:
First Name:REANN
Middle Name:W
Last Name:WEAR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:REANN
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 CAHABA PARK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8136
Mailing Address - Country:US
Mailing Address - Phone:205-848-2273
Mailing Address - Fax:205-848-2275
Practice Address - Street 1:500 CAHABA PARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8136
Practice Address - Country:US
Practice Address - Phone:205-848-2273
Practice Address - Fax:205-848-2275
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-151975163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse