Individual
HEATHER A. LEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2182
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(301) 572-3500
(301) 572-3544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD35628
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006106900
—
MD
05
—
037083700
—
DC
01
—
1088
CAREFIRST
DC
Enumeration date
10/11/2006
Last updated
08/30/2021
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