Healthcare Provider Details

I. General information

NPI: 1033751680
Provider Name (Legal Business Name): HEATHER L SAVAGE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 LAY DAM RD
CLANTON AL
35045-8344
US

IV. Provider business mailing address

329 CAMP FORREST TRL
HELENA AL
35080-8622
US

V. Phone/Fax

Practice location:
  • Phone: 205-258-4400
  • Fax:
Mailing address:
  • Phone: 205-503-8668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPPLIED
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: