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NPI Code Detail

MEDICARE: ANN JACQUELINE HEYWOOD NP

MEDICARE: ANN JACQUELINE HEYWOOD NP
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
1363LA2200XAdult Health Nurse PractitionerF305808-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548540198
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN JACQUELINE HEYWOOD NP
Provider Business Mailing Address
First Line : PO BOX 2868
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-0259
Country : US
Telephone Number : 518-562-7900
Fax Number : 518-562-7933
Provider Business Practice Location Address
First Line : 159 MARGARET ST
Second Line : SUITE 100
City : PLATTSBURGH
State : NY
Zip : 12901-1893
Country : US
Telephone Number : 518-314-3939
Fax Number : 518-314-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 10/21/2014

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Directions to “ ANN JACQUELINE HEYWOOD NP” Practice Location

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