Elizabeth Claire Heetderks ACNP

NPI 1285941955 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1285941955
Gender Female
Enumeration Date 09/01/2010
Last Updated 09/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5755 CEDAR LN
COLUMBIA MD, 21044-2912, US
Phone (410) 740-7890
Fax
Business Location
5755 CEDAR LN
COLUMBIA MD, 21044-2912, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Maryland
License Number R192203
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According to our database, Elizabeth Claire Heetderks ACNP NPI is 1285941955, taxonomy code is 363LA2100X and license number is R192203, license state is located at Maryland. Elizabeth Claire Heetderks ACNP physically located at 5755 Cedar Ln, Columbia MD, 21044-2912. NPI Number Elizabeth Claire Heetderks ACNP has the Individual type.

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1285941955 NPI number is provided on an as is basis without warranty of any kind. 1285941955 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Claire Heetderks ACNP are for informational purposes only.