Individual
BRANDI LYNN HEFFELFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3358 RIDGEWOOD RD, FAIRLAWN, OH 44333-3118
(330) 665-1455
Mailing address
3358 RIDGEWOOD RD, FAIRLAWN, OH 44333-3118
(330) 665-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-07499
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342104
ANTHEM
OH
05
—
2470571
—
OH
Enumeration date
06/06/2006
Last updated
11/04/2024
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