Individual
NICHOLAS SCHROERLUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 996-1124
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-126853
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700261955
—
AL
Enumeration date
07/29/2015
Last updated
11/29/2022
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