Individual
SENIA MARIE ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(205) 968-8360
(205) 968-8361
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(205) 968-8360
(205) 968-8361
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1-113809
AL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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