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NPI Code Detail

MEDICARE: ADRIENNE HEATH NP

MEDICARE: ADRIENNE HEATH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner107150GA

General Provider Information

NPI Number : 1053858357
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE HEATH NP
Provider Business Mailing Address
First Line : 610 BASIL DR
Second Line :
City : DURHAM
State : NC
Zip : 27713-7575
Country : US
Telephone Number : 919-451-9165
Fax Number :
Provider Business Practice Location Address
First Line : 100 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-1802
Country : US
Telephone Number : 919-833-7534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2017
Last Update Date : 01/24/2017

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