Doctor Name: | HEATHER M HASKINS |
NPI Number: | 1124215017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | MA053154 |
Business Practice Address: | 1034 Grove St Meadville, PA - 163352945 |
Business Phone Number: | 8143733472 |
Business Fax Number: | 8143733477 |
Mailing Address: | 1034 Grove St, MEADVILLE |
State: | PA |
Postal Code: | 163352945 |
Phone Number: | 8143733472 |
Fax Number: | 8143733477 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA053154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |