Healthcare Provider Details

I. General information

NPI: 1942814553
Provider Name (Legal Business Name): CYDNEE HEFFEL DNP, CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 STATE AVE N UNIT 200
KENT WA
98030-4543
US

IV. Provider business mailing address

1730 196TH ST SE APT D305
BOTHELL WA
98012-3904
US

V. Phone/Fax

Practice location:
  • Phone: 253-372-7849
  • Fax:
Mailing address:
  • Phone: 206-799-0357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN60872589
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61455485
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: