Organization
NORTHPORT - CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERMAN (VP FINANCE)
(205) 759-7297
Entity
Organization
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 333-4500
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124766
—
AL
01
—
DR7373
RR MCR
AL
Enumeration date
11/23/2010
Last updated
07/02/2026
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