Individual
CAITLYN DIANE ETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-2666
Mailing address
2332 20TH AVE S APT 2, BIRMINGHAM, AL 35223-1045
(803) 760-9381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-156467
AL
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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