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Individual

MRS. HEATHER KATHLEEN MCDONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN, CCM

Contact information

Practice address
9900 DOMINION CREST DR, CHARLOTTE, NC 28269-7027
(631) 645-7757
Mailing address
9900 DOMINION CREST DR, CHARLOTTE, NC 28269-7027
(631) 645-7757

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
290226
NC
163WM0102X
Maternal Newborn Registered Nurse
290226
NC
163WM0102X
Maternal Newborn Registered Nurse
527260
NY
163WP1700X
Perinatal Registered Nurse
Primary
290226
NC
163WX0002X
High-Risk Obstetric Registered Nurse
290226
NC

Other

Enumeration date
06/13/2007
Last updated
11/11/2024
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