Individual
MATT HECKENMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
815 W 5TH NORTH ST, MORRISTOWN, TN 37814-3810
(423) 586-5032
(423) 581-8473
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN173427
TN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN173427
TN
Other
Enumeration date
09/26/2011
Last updated
10/23/2012
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