Individual
MRS. HEATHER MARIE EILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3680 MUIRFIELD DR, MILTON, GA 30004-4493
(513) 375-9195
Mailing address
3680 MUIRFIELD DR, MILTON, GA 30004-4493
(513) 375-9195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185382
NC
367500000X
Certified Registered Nurse Anesthetist
NA08700
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN229884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902835218
TRICARE
NC
05
—
8052506
—
NC
01
—
P01111638
RAILROAD MEDICARE
NC
Enumeration date
06/30/2006
Last updated
02/15/2021
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