Individual
MRS. TINA HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
82 MAPLE STREET, ISLAND POND, VT 05846
(802) 723-4300
Mailing address
PO BOX 425 82 MAPLE STREET, ISLAND POND, VT 05846
(802) 723-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0107042
VT
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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