Provider Demographics
NPI:1982729588
Name:BRYCE, HEATHER DAWN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:DAWN
Last Name:BRYCE
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 1:2616 JORDAN LN NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1014
Mailing Address - Country:US
Mailing Address - Phone:256-851-8433
Mailing Address - Fax:256-851-6080
Practice Address - Street 1:2616 JORDAN LN NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1014
Practice Address - Country:US
Practice Address - Phone:256-851-8433
Practice Address - Fax:256-851-6080
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-095742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily