Individual
HEIDI NICOLE VON HERTLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2702 8TH AVE N, BILLINGS, MT 59101-1107
(406) 238-5200
Mailing address
608 MEADOWLARK LN, WORLAND, WY 82401-2521
(805) 794-1294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MED-PAC-LIC-103215
MT
363A00000X
Physician Assistant
PA921
WY
363A00000X
Physician Assistant
PT921
WY
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-103215
MT
Other
Enumeration date
08/21/2019
Last updated
01/15/2025
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