Individual
MS. HEATHER J AIDALA
Active
Individual
MS. HEATHER J AIDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00248
RI
363AM0700X
Medical Physician Assistant
PA00248
RI
363AM0700X
Medical Physician Assistant
Primary
PA5460
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00248
LICENSE
RI
Enumeration date
09/07/2007
Last updated
01/12/2024
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