Healthcare Provider Details

I. General information

NPI: 1699034843
Provider Name (Legal Business Name): CAYLEN NEVINS SCHLITZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2012
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 5TH AVE S STE 420
BIRMINGHAM AL
35233-1700
US

IV. Provider business mailing address

619 19TH ST S
BIRMINGHAM AL
35249-1900
US

V. Phone/Fax

Practice location:
  • Phone: 205-427-8548
  • Fax:
Mailing address:
  • Phone: 205-934-6525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number1699034843
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: