Provider Demographics
NPI:1427376755
Name:MILAZZO, ELIZABETH SHEROTA (NP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SHEROTA
Last Name:MILAZZO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:MILAZZO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:2001 PROVIDENCE PARK
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4680
Mailing Address - Country:US
Mailing Address - Phone:205-982-7220
Mailing Address - Fax:205-982-7228
Practice Address - Street 1:2001 PROVIDENCE PARK
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4680
Practice Address - Country:US
Practice Address - Phone:205-982-7220
Practice Address - Fax:205-982-7228
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-114133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily