Individual
MRS. HEATHER LAYNE CULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1510 FOREST AVE, MONTGOMERY, AL 36106-1517
(334) 834-6422
(334) 264-5129
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-138851
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-138851
AL
Other
Enumeration date
12/07/2018
Last updated
11/08/2021
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