Individual
MS. REGINA RICHELLE SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
315 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2433
(256) 249-6995
Mailing address
235 WALKER DR, LINEVILLE, AL 36266-6719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-139228
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-139228
AL
Other
Enumeration date
04/19/2022
Last updated
06/06/2024
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