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NPI Code Detail

MEDICARE: AMY K HEFFELFINGER

MEDICARE: AMY K HEFFELFINGER
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
1363LF0000XFamily Nurse Practitioner0024196348VA

General Provider Information

NPI Number : 1366394322
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY K HEFFELFINGER
Provider Business Mailing Address
First Line : 14300 SUMMER TREE RD APT G
Second Line :
City : CENTREVILLE
State : VA
Zip : 20121-4004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1460 UNIVERSITY DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-665-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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