Provider Demographics
NPI:1730295148
Name:STAUDE, EVELYN RENEE (MSN, RN, CRNP)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:RENEE
Last Name:STAUDE
Suffix:
Gender:F
Credentials:MSN, RN, CRNP
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:HALL
Other - Last Name:STAUDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN,RN,CRNP
Mailing Address - Street 1:PO BOX 2345
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2345
Mailing Address - Country:US
Mailing Address - Phone:256-231-7500
Mailing Address - Fax:256-231-7501
Practice Address - Street 1:1400 HIGHWAY DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1951
Practice Address - Country:US
Practice Address - Phone:256-231-7500
Practice Address - Fax:256-231-7501
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1044391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily