Individual
HEATHER ELYSIA PFAHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
701 LUKE ST, EDENTON, NC 27932-9643
(252) 482-6811
Mailing address
701 LUKE ST, EDENTON, NC 27932-9643
(252) 482-6811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2613
AZ
363A00000X
Physician Assistant
Primary
PA.0003546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691023-03
—
AZ
Enumeration date
05/23/2006
Last updated
03/29/2023
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