OLIVIA CHILDS LARUSSA CRNP NPI 1780341818

NPI Information

NPI: 1780341818
Provider Name: OLIVIA CHILDS LARUSSA, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3729 MARY TAYLOR RD
BIRMINGHAM, AL
ZIP 35235
Phone: (205) 856-4440
Get Directions

Olivia Childs Larussa, CRNP is a pediatrics nurse practitioner in Birmingham, AL. Olivia Childs Larussa, CRNP NPI is 1780341818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3729 MARY TAYLOR RD
BIRMINGHAM, AL
ZIP 35235-261
Phone: (205) 856-4440
Fax: (205) 856-4445

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	1-166457	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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