# MS. MARY MARGARET HEATLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134180870
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 000927 | IA | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 07/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 970016889 | RR MDCR | IA |
| 01 | — | IA0106 | JOHN DEERE HEALTHCARE | IA |