Doctor Name: | CATHERINE ANN HECKERT |
NPI Number: | 1013157353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NPF |
License Number: | NPF5061 |
Business Practice Address: | 243 Georgia Street Suite B Vallejo, CA - 945905905 |
Business Phone Number: | 7075568100 |
Business Fax Number: | 7075568107 |
Mailing Address: | 1601 Fruitvale Ave, OAKLAND |
State: | CA |
Postal Code: | 946012418 |
Phone Number: | 5105354000 |
Fax Number: | 5105354128 |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NPF5061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |