Individual
MS. HOLLY ANN HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-9700
Mailing address
158 BOG HOLLOW RD, WASSAIC, NY 12592-2534
(845) 373-8957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F400831-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400831
—
NY
Enumeration date
06/24/2006
Last updated
07/09/2007
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