Individual
HEATHER WOPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
545 1ST AVE, C-124, NEW YORK, NY 10016-6401
(347) 882-2093
Mailing address
545 1ST AVE, C-124, NEW YORK, NY 10016-6401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430935
NY
Other
Enumeration date
08/20/2015
Last updated
02/23/2016
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