Healthcare Provider Details

I. General information

NPI: 1730375478
Provider Name (Legal Business Name): CHRISTEN LYNN HEUSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2007
Last Update Date: 09/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 WASHINGTON RD SUITE 235
PITTSBURGH PA
15241-2564
US

IV. Provider business mailing address

167 DEHAVEN RD
BEAVER FALLS PA
15010-9712
US

V. Phone/Fax

Practice location:
  • Phone: 800-355-1225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN574398
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: