Provider Demographics
NPI:1316482631
Name:TYRRELL, JULIE ZHENG (CRNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ZHENG
Last Name:TYRRELL
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 1:701 19TH ST S # ST112
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1926
Mailing Address - Country:US
Mailing Address - Phone:205-934-5526
Mailing Address - Fax:205-975-7294
Practice Address - Street 1:701 19TH ST S # ST112
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1926
Practice Address - Country:US
Practice Address - Phone:205-934-5526
Practice Address - Fax:205-975-7294
Is Sole Proprietor?:No
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-097425363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care