Healthcare Provider Details

I. General information

NPI: 1255260097
Provider Name (Legal Business Name): CHARLOTTE BEKAI HEFFLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 CENTRAL PARK DR
STEAMBOAT SPRINGS CO
80487-8813
US

IV. Provider business mailing address

109 AZALEA HILLS DR
ONEONTA AL
35121-1843
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-1322
  • Fax:
Mailing address:
  • Phone: 205-456-9617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: