Provider Demographics
NPI:1710324553
Name:ALBRECHT, EVE ALISE (ARNP)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:ALISE
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:ALBRECHT
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2660 10TH AVE S STE 528
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1625
Mailing Address - Country:US
Mailing Address - Phone:205-933-9258
Mailing Address - Fax:205-933-6504
Practice Address - Street 1:2660 10TH AVE S STE 528
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1625
Practice Address - Country:US
Practice Address - Phone:205-933-9258
Practice Address - Fax:205-933-6504
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9267011363L00000X
FLARNP 9267011363LA2100X
AL3-000456363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009082000Medicaid
FLARNP9267011OtherFLORIDA STATE DOH MEDICAL LICENSURE
AL1-143592OtherAMERICAN BOARD OF NURSING