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Individual

ANGELA MARIE HEIKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5253
(615) 322-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001443
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510886
TN
05
3664825
TN
Enumeration date
09/28/2006
Last updated
06/17/2021
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