Individual
HEATHER LYNN HAMBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1175 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6177
(315) 439-6387
Mailing address
1175 S COLLEGE MALL RD, BLOOMINGTON, IN 47401-6177
(315) 439-6387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011755A
IN
Other
Enumeration date
07/12/2006
Last updated
10/19/2021
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