Tuck, Katie H

Tuck, Katie H is an individual health care provider with primary practice located at 2470 Rocky Ridge Rd , Vestavia AL 35243-2833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tuck, Katie H can be contacted via phone (205) 978-3336.

Contact Information

Primary practice address
2470 Rocky Ridge Rd Vestavia AL 35243-2833
Phone: (205) 978-3336
Fax: (205) 503-4915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1072378 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-072378 Alabama

Profile Details

NPI number 1043402555
LBN Legal business name Tuck, Katie H
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Sep 8th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043402555 NPPES
Alabama Other 051542593 BCBS
Alabama MEDICAID 891017461 BCBS
Alabama Other Z08424 BCBS

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