Individual
ALEXANDER RAYMOND HEINLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADULT ACUTE CARE CNP
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
355 BAR HARBOR DR, BAY VILLAGE, OH 44140-1418
(440) 539-0355
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
361774
OH
Other
Enumeration date
02/20/2020
Last updated
02/21/2020
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