Healthcare Provider Details

I. General information

NPI: 1770639593
Provider Name (Legal Business Name): HONGXIN HEIDI HE DNP, FNP-C MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 SAN DIMAS ST STE B
BAKERSFIELD CA
93301-5725
US

IV. Provider business mailing address

3805 SAN DIMAS ST STE B
BAKERSFIELD CA
93301-5725
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-9999
  • Fax:
Mailing address:
  • Phone: 661-326-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN499143
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberRN499143
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN499143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: