Individual
HEATHER ANN WHETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1301 BEAVER AVE, PITTSBURGH, PA 15233-2342
(800) 817-4053
Mailing address
110 COURT AVE, WESTON, WV 26452-1966
(757) 705-0969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629581590
—
WV
Enumeration date
11/14/2017
Last updated
04/06/2022
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