Individual
HEATHER WALDROUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 E SUNSET RD STE 17, LAS VEGAS, NV 89120-3508
(702) 476-8809
Mailing address
2700 E SUNSET RD STE 17, LAS VEGAS, NV 89120-3508
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6733493
—
AK
Enumeration date
12/16/2020
Last updated
12/16/2020
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