Individual
MRS. ANGELA PRUITT DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1650 SLAUGHTER RD STE A, MADISON, AL 35758-8610
(256) 325-3646
(256) 325-3647
Mailing address
1 HOSPITAL DR SW, HUNTSVILLE, AL 35801-6455
(256) 429-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN180719NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51046579DUR
BCBS PROVIDER NUMBER
AL
05
—
DU000046579
—
AL
Enumeration date
10/05/2006
Last updated
10/22/2025
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