Individual
HEATHER KAY BIENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6221 STATE ROUTE 31 STE 105, CICERO, NY 13039-8715
(315) 752-3000
(315) 685-0222
Mailing address
PO BOX 100, ELBRIDGE, NY 13060-0100
(315) 685-0247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354465
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
354465
NY
Other
Enumeration date
06/10/2024
Last updated
03/24/2026
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