Individual
MRS. EEATA ELIZABETH JOHNSON MADRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
201 SIVLEY RD SW STE 620, HUNTSVILLE, AL 35801-5102
(562) 654-6002
(256) 265-4651
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-4600
(256) 265-4651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-126992
AL
Other
Enumeration date
02/19/2016
Last updated
03/20/2019
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