Provider Demographics
NPI:1275077398
Name:SIMPSON, HEATHER STANFORD (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:STANFORD
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:DANIELLE
Other - Last Name:STANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:2000 6TH AVE S
Practice Address - Street 2:4TH FLOOR, CARDIOGRAPHICS DEPT.
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2110
Practice Address - Country:US
Practice Address - Phone:205-801-8026
Practice Address - Fax:205-801-8884
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-121972363LA2100X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1275077398Medicaid