Individual
CARLA L HEINLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2661
(979) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
705193
TX
Other
Enumeration date
07/04/2012
Last updated
07/30/2018
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