| Doctor Name: | HEATHER RENAE PADUCK |
| NPI Number: | 1174575229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | MA-002736-L |
| Business Practice Address: | 672 North River Street Suite 110 Plains, PA - 187051033 |
| Business Phone Number: | 5708244111 |
| Business Fax Number: | 5708243167 |
| Mailing Address: | 672 North River Street, Suite 110 PLAINS |
| State: | PA |
| Postal Code: | 187051033 |
| Phone Number: | 5708244111 |
| Fax Number: | 5708243167 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA-002736-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |