Individual
NICOLE G HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 OLD YORK RD BLDG SUITE404, PHILADELPHIA, PA 19141-3030
(215) 456-7190
(215) 456-7308
Mailing address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD485735
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT219386
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/29/2019
Last updated
07/24/2024
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