Healthcare Provider Details

I. General information

NPI: 1770257271
Provider Name (Legal Business Name): STEPHANIE ANN LORINO MSN, CRNP, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 MONTCLAIR RD STE 150
BIRMINGHAM AL
35213-1969
US

IV. Provider business mailing address

2005 ARNOLD RD
HOOVER AL
35216-5822
US

V. Phone/Fax

Practice location:
  • Phone: 205-795-3890
  • Fax:
Mailing address:
  • Phone: 205-876-4272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1-176010
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-176010
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: