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Individual

MRS. REBEKAH RUTH HEYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1788 EAST STATE ROAD 163, CLINTON, IN 47842
(765) 592-3381
(765) 820-1105
Mailing address
PO BOX 545, CLINTON, IN 47842-0545
(765) 592-3381
(765) 820-1105

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71013516A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013516B
IN

Other

Enumeration date
02/03/2023
Last updated
02/03/2023
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