Individual
ELIZABETH HEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 843-2310
(435) 843-2304
Mailing address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 843-2310
(435) 843-2304
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
278596-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998877663001
—
UT
Enumeration date
08/09/2007
Last updated
08/09/2007
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