Individual
HEIDI R WALDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(619) 502-5990
Mailing address
1353 THUNDERBIRD PL, CHULA VISTA, CA 91915-2219
(619) 940-4494
(619) 492-0373
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN95145118
CA
363LF0000X
Family Nurse Practitioner
95022587
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022587
CA
Other
Enumeration date
08/31/2021
Last updated
01/28/2026
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