Individual
MRS. CHERYL LYNN HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8820 S MERIDIAN STREET, SUITE 120, INDIANAPOLIS, IN 46217-6057
(317) 865-6700
(317) 865-6707
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001937A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525190
—
IN
Enumeration date
08/23/2005
Last updated
02/24/2014
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