Individual
LOU ANN HECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8220 US HIGHWAY 19, PORT RICHEY, FL 34668-6639
(727) 841-8505
(727) 846-0561
Mailing address
3873 48TH AVE S, ST PETERSBURG, FL 33711-4601
(727) 709-1581
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1407642
FL
Other
Enumeration date
07/01/2010
Last updated
03/27/2013
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