Individual
HEATHER C MCTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3101 EMRICK BLVD STE 112, BETHLEHEM, PA 18020-8037
(484) 822-5570
(833) 932-1227
Mailing address
3101 EMRICK BLVD STE 112, BETHLEHEM, PA 18020-8037
(484) 822-5570
(833) 932-1227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013222
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013222
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451649
—
NJ
Enumeration date
10/02/2013
Last updated
06/05/2026
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