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ROMAINE H HEARD CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700894045

Individual Registrant:
 ROMAINE H HEARD CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4055 AL HIGHWAY 9 SUITE F CEDAR BLUFF, AL 35959-5099 US
Tel: 256-779-6057  Fax: --

Contact information for business:
PO BOX 97  GADSDEN, AL 35902-0097 US
Tel: 256-492-0131  Fax: --

Registration Information:
NPI: 1700894045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1059304

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
630408116AL05
630411116AL05
138576 (CHEROKEE)AL05
630401166AL05
138679 (WATTS)AL05
BLUE CROSS511-27374 (CHEROKEE)AL01




HEALTH CARE JOBS AL - Page 1



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