Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1-136176 | AL |
NPI | 1013375039 |
---|---|
Provider Name | Melissa Pirofsky Ricketts |
First Address | Huntsville, AL 35801-4421 |
Second Address | Huntsville, AL 35801-4421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2016 |
Last Update Date | 04/02/2016 |