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Individual

MARY ANN RODENHAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(251) 458-9855
Mailing address
2503 ARROW WOOD DR SE, HUNTSVILLE, AL 35803-1340
(251) 458-9855

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-106955
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-106955
RN LICENSE #
AL
Enumeration date
06/09/2010
Last updated
02/21/2024
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