Healthcare Provider Details

I. General information

NPI: 1922936145
Provider Name (Legal Business Name): MEZZY ANNE BERNARDINO DELA PIERRE RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 MEDICAL CENTER PKWY
SELMA AL
36701-6748
US

IV. Provider business mailing address

606 RAVENWOOD DR APT 1
SELMA AL
36701-7716
US

V. Phone/Fax

Practice location:
  • Phone: 334-418-4450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number1-188568
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number1-188568
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: