MEDICARE: MRS. RHONDA E GREGORETTI CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	1-028124	AL

General Provider Information

NPI Number	:	1962475103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHONDA E GREGORETTI CRNA

Provider Business Mailing Address
First Line	:	PO BOX 235022
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36123-5022
Country	:	US
Telephone Number	:	334-386-2055
Fax Number	:	334-396-6929

Provider Business Practice Location Address
First Line	:	7500 HUGH DANIEL DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-7148
Country	:	US
Telephone Number	:	205-995-9169
Fax Number	:	205-995-0635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/09/2007

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