Individual
HEATHER PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4040 E BROAD ST, WHITEHALL, OH 43213-1156
(614) 405-9500
Mailing address
4040 E BROAD ST, WHITEHALL, OH 43213-1156
(614) 405-9500
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.410859
OH
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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