Individual
MARY JOAN HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1135 116TH AVE NE, SUITE 180, BELLEVUE, WA 98004-4623
(425) 467-3785
(425) 635-6656
Mailing address
1135 116TH AVE NE, SUITE 180, BELLEVUE, WA 98004-4623
(425) 467-3785
(425) 635-6656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60097092
WA
Other
Enumeration date
08/13/2009
Last updated
08/31/2011
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