Healthcare Provider Details

I. General information

NPI: 1841520822
Provider Name (Legal Business Name): LINSAY RODEBAUGH ALFORD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINSAY RENEE ALFORD

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 E SOUTH BLVD
MONTGOMERY AL
36116-2409
US

IV. Provider business mailing address

14295 COUNTY ROAD 9
FITZPATRICK AL
36029-2649
US

V. Phone/Fax

Practice location:
  • Phone: 334-286-3579
  • Fax:
Mailing address:
  • Phone: 334-324-0957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-100564
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: