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NPI Code Detail

MEDICARE: HEATHER KROLL

MEDICARE: HEATHER KROLL
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
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator
3172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1689082471
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER KROLL
Provider Business Mailing Address
First Line : 313 W WINTON AVE
Second Line :
City : HAYWARD
State : CA
Zip : 94544-1136
Country : US
Telephone Number : 510-670-4104
Fax Number :
Provider Business Practice Location Address
First Line : 313 W WINTON AVE
Second Line :
City : HAYWARD
State : CA
Zip : 94544-1136
Country : US
Telephone Number : 510-670-4104
Fax Number : 907-463-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2014
Last Update Date : 12/01/2025

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Directions to “ HEATHER KROLL ” Practice Location

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