Doctor Name: | MS. SHARON TERESA HEISSER |
NPI Number: | 1427384551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 10070 |
Business Practice Address: | 10455 Park Meadows Dr Building 1, Unit 102 Lonetree, CO - 801245599 |
Business Phone Number: | 3037080246 |
Business Fax Number: | 3037080247 |
Mailing Address: | 10483 Kicking Horse Dr, LITTLETON |
State: | CO |
Postal Code: | 801257960 |
Phone Number: | 3038086592 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2009 |
NPI Last Update Date: | 11/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 10070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |