Individual
MARY HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN
Contact information
Practice address
1507 42ND AVE E, SEATTLE, WA 98112-3821
(206) 328-6559
Mailing address
1507 42ND AVE E, SEATTLE, WA 98112-3821
(206) 328-6559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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