Healthcare Provider Details
I. General information
NPI: 1861177669
Provider Name (Legal Business Name): HEALTHCARE CONNECTIONS NP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6420 HILLCREST PARK CT STE B
MOBILE AL
36695-2688
US
IV. Provider business mailing address
6420 HILLCREST PARK CT STE B
MOBILE AL
36695-2688
US
V. Phone/Fax
- Phone: 251-520-8700
- Fax: 251-455-4251
- Phone: 251-520-8700
- Fax: 251-255-4251
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LX0106X |
| Taxonomy | Occupational Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATASHA
HERRINE
ANDREWS
Title or Position: OWNER
Credential: CRNP
Phone: 251-520-8700