Individual
DAWN L HECKATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
152 W HIGH ST, NAPPANEE, IN 46550-2566
(574) 221-9219
Mailing address
152 W HIGH ST, NAPPANEE, IN 46550-2566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005267
—
IN
Enumeration date
06/01/2017
Last updated
03/15/2023
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