| Doctor Name: | DR. THERESA ANN HEIFERT |
| NPI Number: | 1609841584 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 23515 |
| Business Practice Address: | Walter Reed National Military Ctr 8901 Wisconsin Ave Bethesda, MD - 208895600 |
| Business Phone Number: | 3014002915 |
| Business Fax Number: | 3012956173 |
| Mailing Address: | Walter Reed National Military Ctr, 8901 Wisconsin Ave BETHESDA |
| State: | MD |
| Postal Code: | 208895600 |
| Phone Number: | 3014002915 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 12/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |