NPI 1679249155 · live from the CMS NPI Registry
Alexis Bertolla
Nurse Practitioner, Pediatrics in Mobile, AL. National Provider Identifier 1679249155, active.
NPI record
| NPI | 1679249155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1700 Center St, Mobile, AL 36604 |
| Practice phone | 251-415-1000 |
| Mailing address | Po Box 746450, Atlanta, GA 30374 |
| Enumerated | August 17, 2021 |
| Last updated | February 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-166074 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.