Individual
MRS. EDITH J HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
612 KINGSBOROUGH SQ STE 300, CHESAPEAKE, VA 23320-5055
(757) 609-3380
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183370
VA
363LF0000X
Family Nurse Practitioner
347121
NY
Other
Enumeration date
02/16/2021
Last updated
05/29/2022
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