BEVIN ELLENBERG, CRNP
Nurse Practitioner - Primary Care
Active
Individual
NPI: 1780100776
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 1-140234 (AL) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | 1-140234 (AL) |
| Nurse Practitioner - Primary Care | 363LP2300X | Yes | 1-140234 (AL) |
Frequently Asked Questions
NPI 1780100776 is the National Provider Identifier for BEVIN ELLENBERG, CRNP, a Nurse Practitioner - Primary Care provider located in Birmingham, AL. This NPI was enumerated on August 21, 2017.
BEVIN ELLENBERG, CRNP practices at 832 PRINCETON AVE SW, Birmingham, AL 35211.
Quick Facts
- NPI
- 1780100776
- Type
- Individual
- Enumerated
- Aug 21, 2017
- Last Updated
- Mar 17, 2018
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