| Doctor Name: | NANCY JOAN HEISTERMAN |
| NPI Number: | 1164405841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 419970 |
| Business Practice Address: | 4700 Las Vegas Blvd N Amds/sgpt Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532890 |
| Business Fax Number: | 7026532549 |
| Mailing Address: | 1827 Autumn Sage Ave, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 890311698 |
| Phone Number: | 7026532890 |
| Fax Number: | 7026532549 |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 419970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |