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Individual
ANGELA CAROL HEAVNER
Active
Individual
ANGELA CAROL HEAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R168466
MD
363LA2200X
Adult Health Nurse Practitioner
249462
NC
363LA2200X
Adult Health Nurse Practitioner
5003017
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.08278
OH
363LA2200X
Adult Health Nurse Practitioner
COA.08278-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.08278
OH
Other
Enumeration date
01/05/2007
Last updated
05/15/2026
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