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Individual

ANGELA CAROL HEAVNER

Active
Find providers by NPI
Individual

ANGELA CAROL HEAVNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R168466
MD
363LA2200X
Adult Health Nurse Practitioner
249462
NC
363LA2200X
Adult Health Nurse Practitioner
5003017
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.08278
OH
363LA2200X
Adult Health Nurse Practitioner
COA.08278-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.08278
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871640417
NC
05
NP2380
SC
Enumeration date
01/05/2007
Last updated
05/15/2026
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