Individual
PATRICIA E. HEANUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE ,RD,MS,CDE
Contact information
Practice address
94 G ST, SOUTH BOSTON, MA 02127-2977
(508) 944-4684
Mailing address
94 G ST, UNIT 3, BOSTON, MA 02127-2977
(508) 944-4684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
111
MA
163W00000X
Registered Nurse
283029
MA
Other
Enumeration date
10/23/2006
Last updated
03/07/2014
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