Mark Heller
Nurse Anesthetist, Certified Registered in Carlsbad, NM. Individual provider (NPI-1).
NPI number1962083162
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1962083162
- Entity type
- Individual (NPI-1)
- Name
- Mark Heller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11013312 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | FL |
Practice location
2430 W Pierce StCarlsbad, NM 88220-3553
Phone 575-887-4100
Mailing address
106 2nd St NBradenton Beach, FL 34217-2434
Phone 941-518-6868
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All 15 Certified Registered Nurse Anesthetist providers in Carlsbad · All 791 providers in Carlsbad
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