SUNRISE DERMATOLOGY NPI 1720452584

NPI Information

NPI: 1720452584
Provider Name: SUNRISE DERMATOLOGY
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
70 MIDTOWN PARK E
MOBILE, AL
ZIP 36606
Phone: (251) 544-6410
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SUNRISE DERMATOLOGY is a family nurse practitioner in Mobile, AL. SUNRISE DERMATOLOGY NPI is 1720452584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

70 MIDTOWN PARK E
MOBILE, AL
ZIP 36606-140
Phone: (251) 544-6410
Fax: (251) 544-6411

The provider's authorized official is Scott Russell Freeman .
The authorized official title is Partner and has the following contact phone number (251) 544-6410.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 3/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1152005	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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