Individual provider · NPI-1

Laura J Heitz, NP

Nurse Practitioner, Family · Rock Springs, WY

NPI number1013090554
StatusActive
Last updated in NPPESJan 25, 2010

Details

NPI
1013090554
Entity type
Individual (NPI-1)
Name
Laura J Heitz
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2006
Last updated
Jan 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family17189.0261WYYes

Practice location

2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755

Phone 307-382-2080 · Fax 307-382-5099

Mailing address

2620 Commercial Way
Suite 051
Rock Springs, WY 82901-4755

Phone 307-382-2080 · Fax 307-382-5099

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