Individual
HEIDI HAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23214 RANCH RD, BEACHWOOD, OH 44122-1565
(216) 356-6550
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(166) 457-2422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.458466
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028182
OH
Other
Enumeration date
11/19/2019
Last updated
12/08/2023
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