Individual
MS. ANDREA M. HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
428 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-1950
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000013220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510583
—
TN
01
—
4188703
BCBS
TN
Enumeration date
05/13/2008
Last updated
01/21/2014
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