Healthcare Provider Details

I. General information

NPI: 1073311346
Provider Name (Legal Business Name): CHANA B HEYMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 PARK HEIGHTS AVE UNIT 201
BALTIMORE MD
21215-1644
US

IV. Provider business mailing address

7121 PARK HEIGHTS AVE UNIT 201
BALTIMORE MD
21215-1644
US

V. Phone/Fax

Practice location:
  • Phone: 443-515-7356
  • Fax:
Mailing address:
  • Phone: 443-515-7356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR254626
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: