Individual
MRS. NICOLE MARIE HEFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6826 HUNT DR, MACUNGIE, PA 18062-9698
(484) 239-7965
Mailing address
6826 HUNT DR, MACUNGIE, PA 18062-9698
(484) 239-7965
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020282
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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