Healthcare Provider Details

I. General information

NPI: 1548170194
Provider Name (Legal Business Name): AUBREY ELIZABETH HECKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 SHADY SPRING DR
COLUMBUS OH
43230-5300
US

IV. Provider business mailing address

6827 EPIC DR UNIT C
NEW ALBANY OH
43054-7642
US

V. Phone/Fax

Practice location:
  • Phone: 614-269-1955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.512646
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: