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General NPI Number Information
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NPI Number | 1275847535
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Entity Type | Individual
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Provider Name | HEATHER LYNN ENDRISS NNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1000 E BROAD ST
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City | RICHMOND
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State | VA
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Zip | 23219-1930
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Country | US
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Telephone | 804-828-2467
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Fax | 804-828-6662
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Provider Business Mailing Address
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Address Line | PO BOX 780125
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0125
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Country | US
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Telephone | 804-922-4844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 0024169422
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 0017140077
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 5004338
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | RN2283297
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 57635
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APN.0990740-NP
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License Number State | CO
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