Provider Demographics
NPI:1659734549
Name:HEATH, DONNA SUSANNE (CRNP, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:SUSANNE
Last Name:HEATH
Suffix:
Gender:F
Credentials:CRNP, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9275 BAY POINT DR
Mailing Address - Street 2:
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530-6561
Mailing Address - Country:US
Mailing Address - Phone:205-401-0976
Mailing Address - Fax:251-265-3039
Practice Address - Street 1:9275 BAY POINT DR
Practice Address - Street 2:
Practice Address - City:ELBERTA
Practice Address - State:AL
Practice Address - Zip Code:36530-6561
Practice Address - Country:US
Practice Address - Phone:205-401-0976
Practice Address - Fax:251-265-3039
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9421045363LF0000X
AL1-123382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty