Individual
MS. JUDITH MARGARET HEARTHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2604 OLD OCEAN CITY RD, SALISBURY, MD 21804-4629
(410) 742-8732
(410) 543-8213
Mailing address
PO BOX 1733, SALISBURY, MD 21802-1733
(410) 742-8732
(410) 543-8213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R076822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R076822
STATE LICENSE
MD
Enumeration date
03/04/2010
Last updated
03/04/2010
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