Individual
MARY ANN RAYDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7559 HIGHWAY 72 W, MADISON, AL 35758-8811
(256) 562-0850
(256) 562-0853
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 644-8256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-166149
AL
363LF0000X
Family Nurse Practitioner
41272
TN
Other
Enumeration date
06/04/2020
Last updated
04/29/2026
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