Individual
TANYA HEINTSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
0171707
CO
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
633156
CA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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