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NPI Code Detail

MEDICARE: DAVID A HEFFINGTON CRNA

MEDICARE: DAVID A HEFFINGTON CRNA
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
1367500000XCertified Registered Nurse Anesthetist14885TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699871897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A HEFFINGTON CRNA
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number :
Provider Business Practice Location Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 660-826-5960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 05/12/2021

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Directions to “ DAVID A HEFFINGTON CRNA” Practice Location

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