Individual
SYNTHIA HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207-4721
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013962
KY
Other
Enumeration date
10/22/2019
Last updated
04/24/2024
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