Individual
HEIDI MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8400 N RUN MEDICAL DR STE 200, MECHANICSVILLE, VA 23116-2319
(804) 559-6980
(804) 559-6982
Mailing address
PO BOX 71122, CHARLOTTE, NC 28272-1122
(804) 559-6980
(804) 559-6982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174262
VA
Other
Enumeration date
11/21/2016
Last updated
10/05/2018
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