Individual
EMILY G. HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-2207
(804) 828-8300
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186277
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001292561
VA BOARD OF NURSING
VA
Enumeration date
03/05/2022
Last updated
06/12/2023
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