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NPI Code Detail

MEDICARE: ASHLIE HEITZMAN CRNP

MEDICARE:   ASHLIE  HEITZMAN  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP028132PA

General Provider Information

NPI Number : 1336926153
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLIE HEITZMAN CRNP
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 4150 BARRETT BLVD
Second Line :
City : EPHRATA
State : PA
Zip : 17522-8979
Country : US
Telephone Number : 717-738-5648
Fax Number : 717-327-4014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 08/26/2024

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Directions to “ ASHLIE HEITZMAN CRNP” Practice Location

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