Provider Demographics
NPI:1164050027
Name:CERAVOLO, ANNA MARIA FRANCESCA
Entity Type:Individual
Prefix:
First Name:ANNA MARIA
Middle Name:FRANCESCA
Last Name:CERAVOLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SOUTHLAKE PARK STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-5700
Mailing Address - Country:US
Mailing Address - Phone:205-536-8736
Mailing Address - Fax:
Practice Address - Street 1:1000 SOUTHLAKE PARK STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-5700
Practice Address - Country:US
Practice Address - Phone:205-536-8736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-124822363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care