# MAURY ROSE HEFELE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083377238
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1074772 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2021040983 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209027242 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 34611 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 871932 | NV | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G166047 | IA | — |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 03/09/2025
