Individual
HEATHER MARIE BIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, BSN, RN
Contact information
Practice address
2670 CHANCELLOR DR STE 190, CRESTVIEW HILLS, KY 41017-3453
(859) 365-2211
Mailing address
2670 CHANCELLOR DR STE 190, CRESTVIEW HILLS, KY 41017-3453
(859) 365-2211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4012486
KY
Other
Enumeration date
12/05/2023
Last updated
07/17/2026
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