Healthcare Provider Details

I. General information

NPI: 1659584324
Provider Name (Legal Business Name): HEIDI HEAD ALBERT CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 SOUTH PATTERSON AVENUE SUITE 203
SANTA BARBARA CA
93111
US

IV. Provider business mailing address

334 SOUTH PATTERSON AVENUE SUITE 203
SANTA BARBARA CA
93111
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-3443
  • Fax: 805-967-1504
Mailing address:
  • Phone: 805-967-3443
  • Fax: 805-967-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNPF9736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: