Individual
MS. CARRIE JO HEISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
210 SUNSET DR STE A, SEDONA, AZ 86336-5406
(928) 228-0030
(928) 291-0175
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3329
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018949
—
AZ
Enumeration date
07/27/2006
Last updated
08/18/2023
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