Provider Demographics
NPI:1740859545
Name:JAMES, MADISON LANIER (DNP, CRNA)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:LANIER
Last Name:JAMES
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2419 MONTE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4103
Mailing Address - Country:US
Mailing Address - Phone:205-613-9055
Mailing Address - Fax:
Practice Address - Street 1:1600 7TH AVE S DEPT BR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9246
Practice Address - Fax:205-638-2714
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-162708163W00000X
AL137494367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse