Healthcare Provider Details

I. General information

NPI: 1255839841
Provider Name (Legal Business Name): STEPHANIE RAMIREZ HERREN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE NICOLE RAMIREZ CRNP

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1601
US

IV. Provider business mailing address

2249 RUSSET MEADOWS TER
BIRMINGHAM AL
35244-4629
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-7000
  • Fax:
Mailing address:
  • Phone: 205-296-1403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-136741
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-136741
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: