Individual
TAYLOR RYDER NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1321 MCMILLAN AVE, BREWTON, AL 36426-1324
(251) 575-4203
(251) 575-9459
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4203
(251) 575-9459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-077750
AL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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