Provider Demographics
NPI:1144091943
Name:HETRICK, ALLISON BRETT (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BRETT
Last Name:HETRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 SORRENTO PL SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-2957
Mailing Address - Country:US
Mailing Address - Phone:256-606-7395
Mailing Address - Fax:
Practice Address - Street 1:1201 SOMERVILLE RD SE STE 1
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4340
Practice Address - Country:US
Practice Address - Phone:256-686-1371
Practice Address - Fax:256-686-1250
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-166952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily