Individual
KEISHA DAUN HEIVLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
900 PLAZA DR, MONTOURSVILLE, PA 17754-2448
(570) 368-3321
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP033331
PA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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