Healthcare Provider Details

I. General information

NPI: 1053027276
Provider Name (Legal Business Name): IES ALABAMA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MCKENZIE ST
FOLEY AL
36535-2247
US

IV. Provider business mailing address

PO BOX 3347
INDIANAPOLIS IN
46206-3347
US

V. Phone/Fax

Practice location:
  • Phone: 251-949-3540
  • Fax:
Mailing address:
  • Phone: 469-420-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NESTOR ZENAROSA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 469-420-5527