Individual
HEATHER LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4264 EAST RD, TURIN, NY 13473-1704
(315) 348-2625
Mailing address
4163 SWEENEY RD, CONSTABLEVILLE, NY 13325-1903
(315) 335-4775
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
589818
NY
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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