NPI 1326545575 · live from the CMS NPI Registry
Stacee Byrd Bertolla, CRNP
Nurse Practitioner, Pediatrics in Mobile, AL. National Provider Identifier 1326545575, active.
NPI record
| NPI | 1326545575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1700 Center St, Mobile, AL 36604 |
| Practice phone | 251-415-1144 |
| Mailing address | 16513 County Road 68, Loxley, AL 36551 |
| Enumerated | April 12, 2018 |
| Last updated | April 12, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-063545 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.