Individual
JUDITH H HEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
748 S NEW ST, SUITES C&D, DOVER, DE 19904-3573
(302) 734-3227
(302) 734-0391
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000308
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063410
—
NJ
05
—
1000035988
—
DE
05
—
362780200
—
MD
Enumeration date
10/05/2005
Last updated
06/15/2011
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