MEDICARE: VERONICA STERLING CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-097892	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-097892	OTHER	AL	LICENSE

General Provider Information

NPI Number	:	1881428217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA STERLING CRNP

Provider Business Mailing Address
First Line	:	931 FAIRFAX PARK
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35406-2805
Country	:	US
Telephone Number	:	205-343-7300
Fax Number	:	205-343-7306

Provider Business Practice Location Address
First Line	:	1201 22ND ST N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35234-2726
Country	:	US
Telephone Number	:	205-343-7300
Fax Number	:	205-343-7306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	12/11/2024

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