IndividualActive
Alexis Bertolla
NPI 1679249155 · Pediatric Nurse Practitioner · Mobile, AL
Provider details
- NPI number
- 1679249155
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-166074 (AL)
Practice location
1700 Center St
Mobile, AL 36604-3301
Phone: (251) 415-1000
Fax: (251) 415-1001
Mailing address
Po Box 746450
Atlanta, GA 30374-6450
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2024-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.