Individual
DAVID A HEFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(660) 826-5960
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14885
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3622144
—
TN
Enumeration date
09/15/2006
Last updated
05/12/2021
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