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NPI Code Detail

MEDICARE: MR. ROBERT HEILIGENBERG MSN, PMHNP-BC

MEDICARE: MR. ROBERT HEILIGENBERG MSN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner291733AZ

General Provider Information

NPI Number : 1962369926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT HEILIGENBERG MSN, PMHNP-BC
Provider Business Mailing Address
First Line : 10217 N METRO PKWY W
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1438
Country : US
Telephone Number : 602-997-9006
Fax Number :
Provider Business Practice Location Address
First Line : 10217 N METRO PKWY W
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-1438
Country : US
Telephone Number : 602-997-9006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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