Individual
HEIDI S ASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 945-5247
(207) 990-1248
Mailing address
PO BOX 1599, 103 MAINE AVE, BANGOR, ME 04402-1599
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI728
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM9086
MEDICARE GROUP NUMBER
ME
Enumeration date
10/13/2009
Last updated
10/13/2009
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