Individual
STACEY MEZRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3680 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL 35243-3411
(205) 971-7500
(205) 971-7572
Mailing address
3680 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL 35243-3411
(205) 971-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-110708
AL
163WC0200X
Critical Care Medicine Registered Nurse
1-110708
AL
363L00000X
Nurse Practitioner
Primary
1-110708
AL
Other
Enumeration date
04/08/2021
Last updated
04/04/2024
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