Ava Michelle Dirickson RN

NPI 1700122553 - Registered Nurse - 163WP0809X

NPI Details
NPI 1700122553
Gender Female
Enumeration Date 12/26/2012
Last Updated 12/26/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
101 COLISEUM BLVD
MONTGOMERY AL, 36109-2707, US
Phone (334) 279-7830
Fax
Business Location
101 COLISEUM BOULEVARD
MONTGOMERY AL, 36109, US
Phone (334) 279-7830
Fax
Toxanomy
Taxonomy Code 163WP0809X
License State Alabama
License Number 1-080766
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According to our database, Mrs. Ava Michelle Dirickson RN NPI is 1700122553, taxonomy code is 163WP0809X and license number is 1-080766, license state is located at Alabama. Ava Michelle Dirickson RN physically located at 101 Coliseum Blvd, Montgomery AL, 36109-2707. NPI Number Ava Michelle Dirickson RN has the Individual type.

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1700122553 NPI number is provided on an as is basis without warranty of any kind. 1700122553 is maintained by the National Plan & Provider Enumeration System. The contents of Ava Michelle Dirickson RN are for informational purposes only.