Ms Regina Richelle Sudduth, CRNP | |
235 Walker Dr, Lineville, AL 36266-6719 | |
(256) 276-7365 | |
Not Available |
Full Name | Ms Regina Richelle Sudduth |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 235 Walker Dr, Lineville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265175186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1-139228 (Alabama) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 1-139228 (Alabama) | Primary |
Entity Name | Lung Care &, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609116938 PECOS PAC ID: 0547400699 Enrollment ID: O20130712000447 |
Mailing Address | Practice Location Address |
---|---|
Ms Regina Richelle Sudduth, CRNP 235 Walker Dr, Lineville, AL 36266-6719 Ph: () - | Ms Regina Richelle Sudduth, CRNP 235 Walker Dr, Lineville, AL 36266-6719 Ph: (256) 276-7365 |
Bobbie J. Packer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 86892 Highway 9, Lineville, AL 36266 Phone: 256-396-6421 Fax: 256-396-9172 | |
Jodie L Melton, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60026 Highway 49, Lineville, AL 36266 Phone: 256-396-2141 | |
Melissa M Coefield, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60026 Highway 49, Lineville, AL 36266 Phone: 256-396-2141 |