| Doctor Name: | HEATHER ROSE BANDLE |
| NPI Number: | 1023480449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 7239980-4405 |
| Business Practice Address: | 640 E 700 S Suite 105 St George, UT - 847704023 |
| Business Phone Number: | 4356887770 |
| Business Fax Number: | 4356888122 |
| Mailing Address: | 1117 Tamarisk Dr, ST GEORGE |
| State: | UT |
| Postal Code: | 847906934 |
| Phone Number: | 4353136764 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2015 |
| NPI Last Update Date: | 10/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 7239980-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |