Individual
DR. NICOLE ENGLUND HEFFRON
Active
Individual
DR. NICOLE ENGLUND HEFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NICOLE HEFFRON
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148445100
—
MN
01
—
322L4HE
BLUE CROSS BLUE SHIELD
MN
01
—
572G1EN
BLUE CROSS BLUE SHEILD
MN
Enumeration date
08/14/2006
Last updated
06/24/2025
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