Individual
HEATHER ROSE KREBER
Active
Individual
HEATHER ROSE KREBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002079
IA
363AM0700X
Medical Physician Assistant
Primary
002079
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002079
PA LICENSE
IA
01
—
1091016
NCCPA
—
01
—
5101342
STATE CSC
IA
Enumeration date
03/30/2010
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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