Provider Demographics
NPI:1255839841
Name:HERREN, STEPHANIE RAMIREZ (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:RAMIREZ
Last Name:HERREN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:NICOLE
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2249 RUSSET MEADOWS TER
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4629
Mailing Address - Country:US
Mailing Address - Phone:205-296-1403
Mailing Address - Fax:
Practice Address - Street 1:810 SAINT VINCENTS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1601
Practice Address - Country:US
Practice Address - Phone:205-939-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136741163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse