Healthcare Provider Details

I. General information

NPI: 1659900751
Provider Name (Legal Business Name): ELIZABETH SHERENE SCHLAPPI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 4TH AVE S
BIRMINGHAM AL
35233-1723
US

IV. Provider business mailing address

702 DONNA DR
VESTAVIA AL
35226-2802
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number201914782
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: