Healthcare Provider Details

I. General information

NPI: 1629493796
Provider Name (Legal Business Name): MRS. HEATHER ANN BRINDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 02/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO CA
95817-3648
US

IV. Provider business mailing address

1210 FRANMOR CT
SACRAMENTO CA
95864-3709
US

V. Phone/Fax

Practice location:
  • Phone: 916-233-4910
  • Fax: 916-731-8149
Mailing address:
  • Phone: 530-228-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: