Individual
DEBORAH K HEIMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3111
(800) 536-8431
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
(888) 898-3291
(800) 536-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0024164491
VA
363LF0000X
Family Nurse Practitioner
004368
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500020459
RAILROAD MEDICARE
VA
05
—
8929696
—
VA
Enumeration date
05/16/2006
Last updated
08/17/2010
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