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Individual

MS. ANGELA HEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, PMHNP

Contact information

Practice address
1457 NORTHERN BLVD, MANHASSET, NY 11030-3003
(516) 738-5600
(516) 869-0650
Mailing address
436 PARK LN, STATE COLLEGE, PA 16803-1441
(814) 954-2544

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406041
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027491
PA

Other

Enumeration date
08/31/2007
Last updated
12/06/2024
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