Provider Demographics
NPI:1467536599
Name:SANDERS, CARRIE M (CRNP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:M
Last Name:SANDERS
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 1:200 RIVERHILLS BUSINESS PARK
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8112
Mailing Address - Country:US
Mailing Address - Phone:205-995-0899
Mailing Address - Fax:205-995-0451
Practice Address - Street 1:4000 PINE LN SE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5653
Practice Address - Country:US
Practice Address - Phone:205-271-0899
Practice Address - Fax:205-263-9509
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-023074363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics