Provider Demographics
NPI:1447436175
Name:GINTHER, TERRI HEATHER (CRNP)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:HEATHER
Last Name:GINTHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:HEATHER
Other - Last Name:PATTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2325 PANSY STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801
Mailing Address - Country:US
Mailing Address - Phone:256-533-4626
Mailing Address - Fax:
Practice Address - Street 1:2325 PANSY STREET
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-533-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-083785363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510I500093Medicare PIN