Provider Demographics
NPI:1386036671
Name:LAWSON, CHAELI (CRNP)
Entity Type:Individual
Prefix:
First Name:CHAELI
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 AQUARIUS DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5863
Mailing Address - Country:US
Mailing Address - Phone:205-949-0400
Mailing Address - Fax:205-949-0400
Practice Address - Street 1:216 AQUARIUS DR STE 306
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5863
Practice Address - Country:US
Practice Address - Phone:205-949-0400
Practice Address - Fax:205-949-0400
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-132481363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology