Individual
ANDREA LEIGH HEIFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
(713) 486-0989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
321882
LA
208000000X
Pediatrics Physician
71074
TN
208000000X
Pediatrics Physician
T1381
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
71074
TN
390200000X
Student in an Organized Health Care Education/Training Program
T1381
TX
Other
Enumeration date
03/22/2016
Last updated
08/09/2024
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