Healthcare Provider Details

I. General information

NPI: 1255901906
Provider Name (Legal Business Name): AMY HELTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 AL HIGHWAY 69
GUNTERSVILLE AL
35976-7140
US

IV. Provider business mailing address

243 BROOKWOOD CIR NE
ARAB AL
35016-1083
US

V. Phone/Fax

Practice location:
  • Phone: 256-571-8000
  • Fax:
Mailing address:
  • Phone: 256-293-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-103050
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: