Individual
MADELINE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1615 CAHABA RIVER PARC, BIRMINGHAM, AL 35243-3271
(205) 451-2499
Mailing address
4633 RIVERVIEW DR, HOOVER, AL 35244-3718
(205) 451-2499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-150686
AL
Other
Enumeration date
06/28/2021
Last updated
05/23/2023
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