| Doctor Name: | CHERI LYNN HEFFEL |
| NPI Number: | 1508833153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 8158 |
| Business Practice Address: | 240 N Cloverdale Blvd Copper Towers Family Medical Center Cloverdale, CA - 95425 |
| Business Phone Number: | 7078944229 |
| Business Fax Number: | 7078941063 |
| Mailing Address: | 9951 West Rd, REDWOOD VALLEY |
| State: | CA |
| Postal Code: | 95470 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 8158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |