Individual
ANITA THOMPSON HEISTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1215 LEE STREET, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0136
Mailing address
1215 LEE STREET, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024167589
VA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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