Individual
ANGELA HEITZENRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7034
(716) 276-2123
(716) 276-2129
Mailing address
9318 COLEMAN RD, BARKER, NY 14012-9550
(716) 622-1564
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282682
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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