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Individual

MRS. HEIDI E HEFFNER

Active
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Individual

MRS. HEIDI E HEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP018040
PA
363LG0600X
Gerontology Nurse Practitioner
SP018040
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/18/2017
Last updated
03/01/2018
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