Individual provider · Type 1 NPI

Alexis Bertolla

Pediatric Nurse Practitioner · Mobile, AL

NPI number 1679249155 Active

Practice location

1700 Center St
Mobile, AL 36604-3301

Call (251) 415-1000 Map

Fax (251) 415-1001

Mailing address

PO Box 746450
Atlanta, GA 30374-6450

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	1-166074 (AL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679249155

Alexis Bertolla's National Provider Identifier is 1679249155, issued on Aug 17, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mobile, AL. The record was last updated on Feb 16, 2024.