Individual
HEIDI J PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 FIELDSTOWN RD STE 104, GARDENDALE, AL 35071-2458
(205) 631-5521
(205) 631-5540
Mailing address
PO BOX 11407, DEPARTMENT 8007, BIRMINGHAM, AL 35246-8007
(205) 631-5521
(205) 631-5540
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-075629
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-075629
AL
363LP2300X
Primary Care Nurse Practitioner
1-075629
AL
Other
Enumeration date
04/20/2022
Last updated
01/02/2026
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