Provider Demographics
NPI:1033431465
Name:PRICE, HEIDE SUE (APRN)
Entity Type:Individual
Prefix:
First Name:HEIDE
Middle Name:SUE
Last Name:PRICE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HEIDE
Other - Middle Name:SUE
Other - Last Name:BEDINGFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:215 MEDICAL PARK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5355
Mailing Address - Country:US
Mailing Address - Phone:334-222-4327
Mailing Address - Fax:334-222-4333
Practice Address - Street 1:215 MEDICAL PARK DR STE 1
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420
Practice Address - Country:US
Practice Address - Phone:334-222-4327
Practice Address - Fax:334-222-4333
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT286644-4405363LF0000X
AL1-144791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily