Heather Jeanette Walsh, PA-C
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1083865026
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1083865026
- Entity type
- Individual (NPI-1)
- Name
- Miss Heather Jeanette Walsh
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2008
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 55045 | CA | Yes |
| 363A00000X | Physician Assistant | 0110002905 | VA | |
| 363AM0700X | Physician Assistant, Medical | 0110002905 | VA |
Practice location
3405 Kenyon St Ste 305San Diego, CA 92110-5007
Phone 619-849-5777 · Fax 619-849-5776
Mailing address
3405 Kenyon St Ste 305San Diego, CA 92110-5007
Phone 619-849-5777 · Fax 619-849-5776
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