NPI 1952454613 · live from the CMS NPI Registry
Anola G Ennis, CPNP-PC
Nurse Practitioner, Pediatrics in Birmingham, AL. National Provider Identifier 1952454613, active.
NPI record
| NPI | 1952454613 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 930 20th St S, Suite 101, Birmingham, AL 35205 |
| Practice phone | 205-934-5471 |
| Mailing address | 1530 3rd Ave S, Ch19-307, Birmingham, AL 35294 |
| Enumerated | January 18, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-041425 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.