Individual
MR. TERRENCE JOHN HEIDENREITER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RNC
Contact information
Practice address
2480 LLEWELLYN AVE, RED TEAM, FT MEADE, MD 20755-5800
(301) 677-8949
(301) 677-8499
Mailing address
2480 LLEWELLYN AVE, ATTN: MCXR-CR KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755-5800
(301) 677-8270
(301) 677-8176
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R152573
MD
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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