Individual
HEATHER WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 420-9688
Mailing address
2206 PEACOCK LN, MOUNTAIN BRK, AL 35223-1710
(205) 420-9688
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-138046
AL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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