Individual
HEIDI IRENE PROKOFIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22658666
NY
163W00000X
Registered Nurse
26NR17126100
NJ
163W00000X
Registered Nurse
RN657712
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00501600
NJ
Other
Enumeration date
07/06/2013
Last updated
05/01/2017
Update your record
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