Individual
STEPHINE A HEITKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 LILLY RD NE, BLDG 2, OLYMPIA, WA 98506-5427
(360) 754-9409
(360) 438-6760
Mailing address
200 LILLY RD NE, OLYMPIA, WA 98506-5427
(360) 754-9409
(360) 438-6760
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30000835
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8603094
—
WA
Enumeration date
05/17/2007
Last updated
04/11/2011
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