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NPI Code Detail

MEDICARE: HEIDI SUZANNE CAMMER FNP

MEDICARE: HEIDI SUZANNE CAMMER FNP
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 Practitioner5015016NC

General Provider Information

NPI Number : 1467127886
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI SUZANNE CAMMER FNP
Provider Business Mailing Address
First Line : 2910 EAST FRANKLIN BLVD
Second Line : SUITE 1
City : GASTONIA
State : NC
Zip : 28056-7225
Country : US
Telephone Number : 704-648-0460
Fax Number : 855-446-7146
Provider Business Practice Location Address
First Line : 2910 EAST FRANKLIN BLVD
Second Line : SUITE 1
City : GASTONIA
State : NC
Zip : 28056-7225
Country : US
Telephone Number : 704-648-0460
Fax Number : 855-446-7146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 02/24/2026

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Directions to “ HEIDI SUZANNE CAMMER FNP” Practice Location

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