Individual
TODD K PRIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
8371 HIGHWAY 72 W STE 204, MADISON, AL 35758-9505
(256) 801-5977
(256) 517-5926
Mailing address
PO BOX 21007, HUNTSVILLE, AL 35813-5007
(256) 801-6056
(256) 801-6221
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-136010
AL
Other
Enumeration date
08/10/2016
Last updated
05/30/2024
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