Individual
CAROLINE HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7631
Mailing address
718 AMBLER LN, SALEM, VA 24153-1105
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001292329
VA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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