IndividualActive
Carolyn Lacy, CRNP
NPI 1043618879 · Pediatric Nurse Practitioner · Birmingham, AL
Provider details
- NPI number
- 1043618879
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1143114 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 7th Ave S
Birmingham, AL 35233-1711
Phone: (205) 638-9100
Approximate (ZIP-level) locationGet directions
Mailing address
1600 7th Ave S
Birmingham, AL 35233-1711
Registry dates
- Enumerated
- 2014-12-10
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.