Individual
HEATHER N BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7379
Mailing address
60 PRESIDENTIAL PLZ APT 908, SYRACUSE, NY 13202-2437
(508) 643-0750
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383130
—
NY
Enumeration date
06/11/2020
Last updated
06/11/2020
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