Individual
EMANUELLA E HEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 685-5000
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
CG61314333
WA
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG61314333
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2022
Last updated
05/18/2022
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