Individual
MS. MICHELLE RENEE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
708 WILL HALSEY WAY STE C, MADISON, AL 35758-2566
(256) 325-1349
(256) 325-1354
Mailing address
1210 GRANDEVIEW BLVD APT 3011, HUNTSVILLE, AL 35824-2430
(256) 656-8263
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-053076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
02/26/2014
Last updated
12/04/2022
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