Individual
MRS. DANIELLE MARIE RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 698-7729
Mailing address
106 DAWN DR, MADISON, AL 35758-2327
(256) 683-0057
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1-113803
AL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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