Individual
HEATHER ALLEN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACCNS-AG, NP-C
Contact information
Practice address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(770) 427-7389
(770) 427-1492
Mailing address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(770) 427-7389
(770) 427-1492
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN195642
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN195642
NP LICENSE
GA
Enumeration date
03/04/2014
Last updated
03/04/2014
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