Doctor Name: | ARLYNE E HEERLEIN |
NPI Number: | 1003056417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 3907 |
Business Practice Address: | Us Dept Ofstate 2401 E St., Nw Washington, DC - 205220001 |
Business Phone Number: | 2026632453 |
Business Fax Number: | 2026633247 |
Mailing Address: | Us Dept Ofstate, 2401 E St., Nw WASHINGTON |
State: | DC |
Postal Code: | 205220001 |
Phone Number: | 2026632453 |
Fax Number: | 2026633247 |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |