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Individual
COURTNEY-MAREE HEYNEN
Active
Individual
COURTNEY-MAREE HEYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CM000065
SD
367A00000X
Advanced Practice Midwife
RN160603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972749C
—
GA
01
—
202I429644
MEDICARE PTAN
GA
Enumeration date
06/30/2005
Last updated
10/10/2018
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