Individual
ELIZABETH K HEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 SOUTH 8TH STREET, PHILADELPHIA, PA 19106-3519
(610) 955-2591
Mailing address
3400 CIVIC CENTER BLVD, 15TH FLOOR, PHILADELPHIA, PA 19104-5157
(610) 955-2591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059094
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103321344
—
PA
Enumeration date
06/14/2017
Last updated
10/31/2024
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