Individual
MRS. MARYANN A HEIDERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA CRNFA
Contact information
Practice address
1508 SW 5TH COURT, FT LAUDERDALE, FL 33312
(954) 646-1880
(954) 522-6222
Mailing address
PO BOX 970528, COCONUT CREEK, FL 33097
(954) 227-8224
(954) 227-7442
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN1168742
FL
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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