Individual
CHRISTA HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4725 HAYES RD, #109, MADISON, WI 53704-7335
(651) 792-6460
Mailing address
4725 HAYES RD, #109, MADISON, WI 53704-7335
(651) 792-6460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162649-030
WI
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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