Provider Demographics
NPI:1740592062
Name:BUFFINGTON, HEATHER (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 9TH ST S
Mailing Address - Street 2:176F 7FL RM 7316
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-7404
Mailing Address - Country:US
Mailing Address - Phone:205-975-4722
Mailing Address - Fax:205-934-0655
Practice Address - Street 1:619 9TH ST S
Practice Address - Street 2:176F 7FL RM 7316
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-7404
Practice Address - Country:US
Practice Address - Phone:205-975-4722
Practice Address - Fax:205-934-0655
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-072469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily