Healthcare Provider Details

I. General information

NPI: 1174937486
Provider Name (Legal Business Name): MELINDA MARIE HEILIGMANN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 07/30/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E TOWN ST STE 116
COLUMBUS OH
43215-4799
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-9108
  • Fax: 614-566-8737
Mailing address:
  • Phone: 614-566-9108
  • Fax: 614-566-8737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60480613
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: