Individual
IRENE ANN HEETEBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4797
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4797
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
358136
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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