IndividualActive
Cassidy Black, CRNP
NPI 1619459617 · Critical Care Pediatric Nurse Practitioner · Birmingham, AL
Provider details
- NPI number
- 1619459617
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-148561 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 7th Ave S Ste 102
Birmingham, AL 35233-1711
Phone: (205) 638-9387
Fax: (205) 975-6505
Approximate (ZIP-level) locationGet directions
Mailing address
5202 Colony Park Dr
Birmingham, AL 35243-3323
Registry dates
- Enumerated
- 2018-09-05
- Last updated
- 2018-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.