Provider Demographics
NPI:1659584324
Name:ALBERT, HEIDI HEAD (CNP)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:HEAD
Last Name:ALBERT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:334 SOUTH PATTERSON AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111
Mailing Address - Country:US
Mailing Address - Phone:805-967-3443
Mailing Address - Fax:805-967-1504
Practice Address - Street 1:334 SOUTH PATTERSON AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111
Practice Address - Country:US
Practice Address - Phone:805-967-3443
Practice Address - Fax:805-967-1504
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANPF9736363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPF9736OtherSTATE LICENSE
CANPF9736OtherSTATE LICENSE