Individual
EMILY HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
2115 W MARCO POLO RD, PHOENIX, AZ 85027-4135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186683
AZ
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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