Wellformed AI

NPI 1205104536 · live from the CMS NPI Registry

Vicki Liles Cunningham, CRNP

Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1205104536, active.

NPI record

NPI1205104536 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1940 Elmer J Bissell Rd, Birmingham, AL 35243
Practice phone205-824-4949
EnumeratedDecember 1, 2011
Last updatedDecember 2, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X1-035779 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.