Healthcare Provider Details

I. General information

NPI: 1033748926
Provider Name (Legal Business Name): ANN ELLARD TURNER ZICARELLI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 02/01/2024
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 6TH AVE S
BIRMINGHAM AL
35233-1802
US

IV. Provider business mailing address

2301 20TH AVE S APT B
BIRMINGHAM AL
35223-1053
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1-162524
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-162524
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: