Individual
MS. HEIDI M HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Mailing address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 789-2000
(425) 789-2096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60318228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60318228
PA WA LICENSE
WA
01
—
PA22655
MEDICAL LICENSE
CA
Enumeration date
11/09/2012
Last updated
11/02/2021
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