Wellformed AI

NPI 1780341818 · live from the CMS NPI Registry

Olivia Larussa Anderson, CRNP

Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1780341818, active.

NPI record

NPI1780341818 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1600 7th Ave S, Birmingham, AL 35233
Practice phone205-638-9100
EnumeratedNovember 23, 2021
Last updatedSeptember 10, 2024
Sole proprietorNo
Other namesOlivia Larussa

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X1-166457 (AL)

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