Individual
MR. ALAN M. HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2422 DANVILLE ROAD, SUITE E, DECATUR, AL 35603
(256) 355-9040
(256) 355-9048
Mailing address
P.O. BOX 5750, DECATUR, AL 35601
(256) 355-9040
(256) 355-9048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-127539
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-127539
AL
Other
Enumeration date
04/15/2014
Last updated
10/01/2020
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