| Doctor Name: | DONNA SUSANNE HEATH |
| NPI Number: | 1659734549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-123382 |
| Business Practice Address: | 101 E 15th Ave Gulf Shores, AL - 365423501 |
| Business Phone Number: | 2519621250 |
| Business Fax Number: | 2519623095 |
| Mailing Address: | 101 E 15th Ave, GULF SHORES |
| State: | AL |
| Postal Code: | 365423501 |
| Phone Number: | 2519621250 |
| Fax Number: | 2519623095 |
| NPI Enumeration Date: | 03/30/2016 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-123382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |