Individual
MRS. MARIE-PAULE SIMONE HEYLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
6805 US HIGHWAY 11, POTSDAM, NY 13676-3131
(315) 265-3105
(315) 265-0323
Mailing address
6805 US HIGHWAY 11, POTSDAM, NY 13676-3131
(315) 265-3105
(315) 265-0323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306058-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03497023
—
NY
Enumeration date
08/11/2012
Last updated
02/06/2014
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