Individual
HEIDI W NOLAN
Active
Individual
HEIDI W NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037010
—
CT
01
—
061561581
UNITED HEALTHCARE
CT
01
—
0Q2938
HEALTH NET
CT
01
—
279001
CONNECTICARE
CT
01
—
290000279CT03
ANTHEM BC/BS
CT
01
—
368792
WELLCARE OF CT
CT
01
—
970013793
RAIL ROAD MEDICARE
CT
01
—
P2364340
OXFORD
CT
Enumeration date
08/02/2005
Last updated
03/27/2017
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