person
Bevin Lyle Ellenberg, CRNP
Primary Care Nurse Practitioner in Birmingham, Alabama
NPI 1780100776

Bevin Lyle Ellenberg is a Primary Care Nurse Practitioner based in Birmingham, AL and is specialized in Primary Care. Bevin Lyle Ellenberg practices in Birmingham, AL and has the professional credentials of CRNP. The NPI Number for Bevin Lyle Ellenberg is 1780100776 and holds a License No. 1-140234 (Alabama).

The current practice location address for Bevin Lyle Ellenberg is 832 Princeton Ave Sw, Birmingham, AL and can be reached out via phone at 205-206-8450 and via fax at 205-206-8364.

Location: 832 Princeton Ave Sw, Birmingham, AL, 35202-2366
person
Provider Profile Details
NPI Number
1780100776
Provider Name
Bevin Lyle Ellenberg
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
832 Princeton Ave Sw, Birmingham, AL, 35202-2366
Phone Number
205-206-8450
Fax Number
205-206-8364
Provider Enumeration Date
08/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
832 Princeton Ave Sw
City
State
Zip
35211-1320
Phone Number
205-206-8450
Fax Number
205-206-8364
person
Provider Business Mailing Address Details
Address
832 Princeton Ave Sw
City
State
Zip
35211-1320
Phone Number
205-206-8450
Fax Number
205-206-8364
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
1-140234 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1-140234 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
1-140234 (Alabama)
Definition
Definition to come...
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