Healthcare Provider Details

I. General information

NPI: 1538426432
Provider Name (Legal Business Name): APRIL SHELL BROWN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 04/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MONTCLAIR RD 4TH FLOOR NICU
BIRMINGHAM AL
35213-1908
US

IV. Provider business mailing address

155 SCARLET OAK DR
MAYLENE AL
35114-4922
US

V. Phone/Fax

Practice location:
  • Phone: 205-592-1451
  • Fax: 205-592-5001
Mailing address:
  • Phone: 205-616-1459
  • Fax: 205-592-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number1-085617
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: