Individual
KEELY ERIN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9175
(205) 558-2061
Mailing address
1620 OAK PARK LN, HELENA, AL 35080-7753
(205) 939-9175
(205) 558-2061
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1089150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089150
—
AL
Enumeration date
01/30/2008
Last updated
01/30/2008
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