# HEATHER RENEE MACLEAN

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

## Provider details

- **NPI number:** 1528042116
- **Gender:** F
- **Credential:** RN, NMNP - PP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 095000395N5 | OR | — |
| 367A00000X | Advanced Practice Midwife | 095000395N5 | OR | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 07/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 090501 | — | OR |
| 01 | — | 1407812365 | NBMC NPI NUMBER-GROUP | OR |
| 01 | — | 420001224 | RR MEDICARE PTAN NUMBER | OR |
| 01 | — | CD8723 | RR MEDICARE GROUP NUMBER | OR |
| 01 | — | R0000WFBTV | MEDICARE GROUP PIN NUMBER | OR |