Individual
ELIZABETH HEAGGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
R101401
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
214666
AR
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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