Doctor Name: | MRS. EDITH CLAIRE HEILMAN |
NPI Number: | 1114274925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,PMH,CNS,BC. |
License Number: | CNS000070 |
Business Practice Address: | 100 Maris Grove Way Glen Mills, PA - 193421282 |
Business Phone Number: | 6103874520 |
Business Fax Number: | 6103874526 |
Mailing Address: | 5525 Research Park Dr, 4th Floor BALTIMORE |
State: | MD |
Postal Code: | 212284873 |
Phone Number: | 6103874520 |
Fax Number: | 6103874526 |
NPI Enumeration Date: | 08/10/2012 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | CNS000070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |