Individual
MRS. HEATHER ANNE NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2019 GALISTEO ST STE N9A, SANTA FE, NM 87505-2111
(505) 820-1482
Mailing address
2019 GALISTEO ST STE N9A, SANTA FE, NM 87505-2111
(505) 820-1482
(505) 982-0696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2003-0017
NM
363AS0400X
Surgical Physician Assistant
PA2003-0017
NM
Other
Enumeration date
11/21/2006
Last updated
01/30/2024
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