Hyde, Heather K

Hyde, Heather K is an sole proprietor health care provider with primary practice located at 815 Jackson Trace Rd , Wetumpka AL 36092-1504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hyde, Heather K can be contacted via phone (334) 567-2882.

Contact Information

Primary practice address
815 Jackson Trace Rd Wetumpka AL 36092-1504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-148661 Alabama

Profile Details

NPI number 1154896082
LBN Legal business name Hyde, Heather K
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2018
Last updated Oct 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154896082 NPPES
Alabama MEDICAID 135761

Popular Providers