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NPI Code Detail

MEDICARE: HEATHER LYNN MOSTELLA CRNP

MEDICARE: HEATHER LYNN MOSTELLA CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN 1-0874451AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487753315
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LYNN MOSTELLA CRNP
Provider Business Mailing Address
First Line : 460 AL HIGHWAY 75 N
Second Line :
City : ALBERTVILLE
State : AL
Zip : 35951-3838
Country : US
Telephone Number : 256-891-0300
Fax Number : 256-997-5995
Provider Business Practice Location Address
First Line : 460 AL HIGHWAY 75 N
Second Line :
City : ALBERTVILLE
State : AL
Zip : 35951-3838
Country : US
Telephone Number : 256-891-0300
Fax Number : 256-891-7461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 03/28/2019

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