Mary Elizabeth Von Heiland PNP-PC

NPI 1073908711 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1073908711
Gender Female
Enumeration Date 03/31/2015
Last Updated 07/07/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
4502 MEDICAL DR
SAN ANTONIO TX, 78229-4402, US
Phone (210) 358-4000
Fax
Business Location
7703 FLOYD CURL DRIVE
MC7740
SAN ANTONIO TX, 78229-3900, US
Phone (210) 743-4130
Fax (210) 702-6292
Toxanomy
Taxonomy Code 363LP0200X
License State Texas
License Number 744123
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According to our database, Mrs. Mary Elizabeth Von Heiland PNP-PC NPI is 1073908711, taxonomy code is 363LP0200X and license number is 744123, license state is located at Texas. Mary Elizabeth Von Heiland PNP-PC physically located at 4502 Medical Dr, San Antonio TX, 78229-4402. NPI Number Mary Elizabeth Von Heiland PNP-PC has the Individual type.

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1073908711 NPI number is provided on an as is basis without warranty of any kind. 1073908711 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Elizabeth Von Heiland PNP-PC are for informational purposes only.