IndividualActive
Bevin Ellenberg, CRNP
NPI 1780100776 · Primary Care Nurse Practitioner · Birmingham, AL
Provider details
- NPI number
- 1780100776
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-140234 (AL)
Practice location
832 Princeton Ave Sw
Birmingham, AL 35211-1320
Phone: (205) 206-8450
Fax: (205) 206-8364
Mailing address
Po Box 12366
Birmingham, AL 35202-2366
Registry dates
- Enumerated
- 2017-08-21
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.