Individual
MALLORY DANIELLE RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
320 PELHAM AVE SW STE 301, HUNTSVILLE, AL 35801-5051
(256) 759-9629
Mailing address
3827 JESSICA LN, VESTAVIA, AL 35243-5307
(205) 451-6641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CNM09441
AL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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