Individual
SHARON HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 LAFAYETTE ST, STE 110, FORT WAYNE, IN 46806-1100
(260) 744-2887
Mailing address
2700 LAFAYETTE ST, STE 110, FORT WAYNE, IN 46806-1100
(260) 744-2887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001167A
IN
Other
Enumeration date
04/21/2006
Last updated
02/27/2008
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