Individual
HEATHER HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2422 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2378
(334) 528-6803
(334) 528-3269
Mailing address
2422 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2378
(334) 528-6803
(334) 528-3269
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1-121576
AL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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