Individual
EMILY STEELY ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 FIRE STATION RD, BAILEYTON, AL 35019-9609
(256) 735-4057
Mailing address
108 HEDGE LN, HUNTSVILLE, AL 35811-9465
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148400
AL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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