MEDICARE: MICHELLE HEENAN

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
1	2355S0801X	Speech-Language Assistant	SLPA16483	AZ

General Provider Information

NPI Number	:	1508718222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE HEENAN

Provider Business Mailing Address
First Line	:	23742 W CHAMBERS ST
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-7215
Country	:	US
Telephone Number	:	623-313-5897
Fax Number	:

Provider Business Practice Location Address
First Line	:	23742 W CHAMBERS ST
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-7215
Country	:	US
Telephone Number	:	623-313-5897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

Similar Medicare Providers

1689523706 — COWANDA ANN TOWNSEND
Practice Location Address:

23839 W MAGNOLIA DR
BUCKEYE, AZ
85326-3591

Practice Phone: 323-762-6535
Practice Fax:

1851245930 — MRS. LORRAINE MARIE HERRERA
Practice Location Address:

23821 W WAYLAND DR
BUCKEYE, AZ
85326-7020

Practice Phone: 623-845-2926
Practice Fax:

1598619538 — STACEY GARDNER
Practice Location Address:

19871 W FREMONT RD
BUCKEYE, AZ
85326-9512

Practice Phone: 602-214-1101
Practice Fax:

1396696555 — ALFATESHESIA JOHNSON FNP-BC
Practice Location Address:

1300 S WATSON RD A-114 , 504
BUCKEYE, AZ
85326

Practice Phone: 602-600-5026
Practice Fax:

1487506341 — MICHAEL HALL
Practice Location Address:

211 7TH AVE W
BUCKEYE, AZ
85326-1020

Practice Phone: 623-386-4487
Practice Fax:

1477405223 — MICHAEL P GOODRICH
Practice Location Address:

6500 S MILLER RD BLDG C
BUCKEYE, AZ
85326-1503

Practice Phone: 602-694-9923
Practice Fax:

Directions to “ MICHELLE HEENAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.