Individual
MR. NICHOLAS SCOTT BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-6948
Mailing address
937 MOUNTAIN BRANCH CIR, VESTAVIA, AL 35226-1805
(205) 470-4930
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-111754
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299371
—
AL
Enumeration date
01/04/2012
Last updated
12/09/2025
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