Individual
PATRICIA HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6326 W AIRE LIBRE AVE, GLENDALE, AZ 85306-1015
(520) 272-9295
Mailing address
6326 W AIRE LIBRE AVE, GLENDALE, AZ 85306-1015
(520) 272-9295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN133631
AZ
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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