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Individual

MRS. AMY KAYE HEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE, SUITE 46.5, VANCOUVER, WA 98664-1989
(360) 828-5396
(360) 828-5455

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
099006538RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007378
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0224455
LABOR & INDUSTRIES
WA
01
8945278
CRIME VICTIMS
WA
05
9649245
WA
Enumeration date
07/11/2006
Last updated
12/29/2014
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