Individual
MADELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CRNA
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-2240
Mailing address
2303 CROWNS LN, MOODY, AL 35004-3520
(205) 382-0318
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
1-159380
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11020187
FL
Other
Enumeration date
10/29/2018
Last updated
06/29/2023
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