Healthcare Provider Details

I. General information

NPI: 1164347175
Provider Name (Legal Business Name): MADISON MARIE PRUETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 HICKORY POINT DR
HELENA AL
35080-3365
US

IV. Provider business mailing address

125 HICKORY POINT DR
HELENA AL
35080-3365
US

V. Phone/Fax

Practice location:
  • Phone: 601-434-3924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-188849
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: