Individual
MS. HEATHER ELIZABETH FEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
181 W WHITE HORSE PIKE, SUITE 100, BERLIN, NJ 08009-2032
(856) 767-6670
(856) 767-3518
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00087500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077356 SK3
MEDICARE GROUP
—
Enumeration date
05/23/2007
Last updated
08/28/2015
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