Individual
MRS. HEATHER LYNN BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2755 STATE HIGHWAY 67, JOHNSTOWN, NY 12095
(518) 661-6779
Mailing address
2755 STATE HIGHWAY 67, JOHNSTOWN, NY 12095-3747
(518) 736-4681
(518) 725-6754
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
493790-1
NY
Other
Enumeration date
11/08/2013
Last updated
12/05/2025
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