Individual
ELLA THOMAS HEITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, FNP, RN
Contact information
Practice address
108 COWARDIN AVE, RICHMOND, VA 23224-2020
(804) 233-5016
Mailing address
108 COWARDIN AVE, RICHMOND, VA 23224-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001180347
VA
363LF0000X
Family Nurse Practitioner
0024166312
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024166312
VA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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