HEIDI J PRUETT

GARDENDALE, AL
NPI1699418228
Former NameHEIDI J PAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  1-075629)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  1-075629)
363LP2300X Nurse Practitioner, Primary Care
(Licence: AL  1-075629)
Enumeration Date2022-04-20
Last Update Date2026-01-02
Business Address
HEIDI J PRUETT
430 FIELDSTOWN RD STE 104
GARDENDALE, AL 35071-2458
Phone number: 205-631-5521
Mailing Address
HEIDI J PRUETT
PO BOX 11407, DEPARTMENT 8007
BIRMINGHAM, AL 35246-8007
Phone number: 205-631-5521