Provider Demographics
NPI:1437715265
Name:HAMEEN, WILDA LAW (CRNP)
Entity Type:Individual
Prefix:
First Name:WILDA
Middle Name:LAW
Last Name:HAMEEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 ENSLEY 5 POINTS W AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35208-2715
Mailing Address - Country:US
Mailing Address - Phone:659-903-4344
Mailing Address - Fax:
Practice Address - Street 1:3209 ENSLEY 5 POINTS W AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35208-2715
Practice Address - Country:US
Practice Address - Phone:659-903-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-094675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine