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SUNRISE DERMATOLOGY
NPI 1720452584
Nurse Practitioner - Family in Mobile, AL

Active since November 17, 2015
70 MIDTOWN PARK E, MOBILE, AL 36606(251) 544-6410(251) 544-6411 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2019, Nov 17, 2015 (2 updates tracked since 2015).

About Sunrise Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE DERMATOLOGY (NPI 1720452584) is a healthcare organization registered as a family in Mobile, Alabama and active in the NPI registry since November 2015. The organization lists Scott Russell Freeman, Partner, as its authorized official.

NPPES Registry Identity

NPI1720452584
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSUNRISE DERMATOLOGY
Location Address70 MIDTOWN PARK EMobile, AL 36606-4140
Mailing Address70 Midtown Park EMobile, AL 36606-4140 · (251) 544-6410 · Fax (251) 544-6411
Phone(251) 544-6410
Fax(251) 544-6411
Organization SubpartNo
Authorized OfficialScott Russell FreemanPartner · (251) 544-6410
Enumeration DateNovember 17, 2015
Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration
✔ NPI 1720452584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1152005
70 MIDTOWN PARK E, Mobile, AL 36606
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA KOMINEK WILLIAMS FNP
Nurse Practitioner (Family)
70 MIDTOWN PARK E
MOBILE, AL 36606
Mobile County (251) 289-1786
DR. RYAN BURKE RAMAGOSA M.D.
Dermatology
70 MIDTOWN PARK E
MOBILE, AL 36606
Mobile County (251) 289-1786
SUNRISE DERMATOLOGY LLC
Dermatology
70 MIDTOWN PARK E
MOBILE, AL 36606
Mobile County (251) 289-1786
CANDICE MARIE NELSON APRN, FNP-C
Nurse Practitioner (Family)
70 MIDTOWN PARK E
MOBILE, AL 36606
Mobile County (251) 289-1786
SCOTT FREEMAN MD
Dermatology (MOHS-Micrographic Surgery)
70 MIDTOWN PARK E
MOBILE, AL 36606
Mobile County (251) 289-1786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Dermatology's NPI number?

The NPI number for Sunrise Dermatology is 1720452584. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Sunrise Dermatology located?

Sunrise Dermatology is located at 70 Midtown Park E, Mobile, AL 36606. The listed phone number is (251) 544-6410.

What is Sunrise Dermatology's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sunrise Dermatology was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.