Individual
HEIDI CHIQUITA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-0000
Mailing address
4518 GRESHAM LN SE, OWENS CROSS ROADS, AL 35763-3201
(256) 289-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-174895
AL
363L00000X
Nurse Practitioner
Primary
1-174895
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
11/09/2023
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