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Individual

VICTORIA ROSE CHAMPION HEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(202) 444-2000
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-173428
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163W00000X
RN
Enumeration date
04/23/2020
Last updated
10/16/2024
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