Provider Demographics
NPI:1902507197
Name:MAIDEN, ALICIA F
Entity Type:Individual
Prefix:PROF
First Name:ALICIA
Middle Name:F
Last Name:MAIDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:866 LEE ROAD 40
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:AL
Mailing Address - Zip Code:36874-3048
Mailing Address - Country:US
Mailing Address - Phone:404-635-6192
Mailing Address - Fax:
Practice Address - Street 1:866 LEE ROAD 40
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:AL
Practice Address - Zip Code:36874-3048
Practice Address - Country:US
Practice Address - Phone:404-635-6192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula