Individual
MS. HEATHER MARISSA LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
832 ELM ST SW STE 101, ALBANY, OR 97321-2062
(541) 812-5820
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10014268
OR
363LF0000X
Family Nurse Practitioner
RN2328120
MA
Other
Enumeration date
10/09/2018
Last updated
04/19/2024
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