Individual
CARRIE LEE HEINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
30 PEMBERTON DR, EAST BERLIN, PA 17316-9318
(717) 476-1373
Mailing address
30 PEMBERTON DR, EAST BERLIN, PA 17316-9318
(717) 476-1373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN584506
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
079507-23
NH
367500000X
Certified Registered Nurse Anesthetist
45294
WY
367500000X
Certified Registered Nurse Anesthetist
92104
PA
Other
Enumeration date
04/06/2010
Last updated
01/17/2025
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