Healthcare Provider Details

I. General information

NPI: 1275330144
Provider Name (Legal Business Name): DARBY GRACE HONG WHEAT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1815
US

IV. Provider business mailing address

1802 6TH AVE S
BIRMINGHAM AL
35233-1932
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-184613
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: