Individual
TINA HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
2125 LANGHORNE RD STE 303, LYNCHBURG, VA 24501-1423
(434) 200-3600
Mailing address
PO BOX 1559, BAKERSFIELD, CA 93302-1559
(661) 635-3050
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024182405
VA
Other
Enumeration date
06/29/2018
Last updated
12/18/2025
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