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ROMAINE H HEARD CRNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1700894045
Individual Registrant: ROMAINE H HEARD CRNP
Gender: F
Not Sole Proprietor
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: --
Tel: 256-779-6057 Fax: --
Contact information for business:
PO BOX 97 GADSDEN, AL 35902-0097 US
Tel: 256-492-0131 Fax: --
Tel: 256-492-0131 Fax: --
Registration Information:
NPI: 1700894045
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AL | 1059304 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 630408116 | AL | 05 | |
| 630411116 | AL | 05 | |
| 138576 (CHEROKEE) | AL | 05 | |
| 630401166 | AL | 05 | |
| 138679 (WATTS) | AL | 05 | |
| BLUE CROSS | 511-27374 (CHEROKEE) | AL | 01 |
