Individual
ELIZABETH CLAIRE HEETDERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R192203
MD
Other
Enumeration date
09/01/2010
Last updated
09/07/2010
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