Individual
JAMES LEE HEYREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
702 N DORIAN DR, ONTARIO, OR 97914-1827
(208) 740-4134
(541) 889-6114
Mailing address
702 N DORIAN DR, ONTARIO, OR 97914-1827
(208) 740-4134
(541) 889-6114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220083
AZ
367500000X
Certified Registered Nurse Anesthetist
51143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585068
—
AZ
05
—
8052389
—
NC
Enumeration date
06/03/2006
Last updated
12/29/2020
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