1164598389 NPI number — MS. PATRICIA M HEISLER RN, CRNFA

Table of content: MS. PATRICIA M HEISLER RN, CRNFA (NPI 1164598389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164598389 NPI number — MS. PATRICIA M HEISLER RN, CRNFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEISLER
Provider First Name:
PATRICIA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, CRNFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164598389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
220 E CLIFF ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08876-2415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-526-1753
Provider Business Mailing Address Fax Number:
908-595-1620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 E CLIFF ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08876-2415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-526-1753
Provider Business Practice Location Address Fax Number:
908-595-1620
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  NO44156 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com