Individual
HEATHER A DENNIS
Active
Individual
HEATHER A DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704254089
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0033489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704254089
STATE LICENSE
MI
Enumeration date
02/08/2012
Last updated
05/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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