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NPI Code Detail

MEDICARE: HEIDI CLOUSE CPNP

MEDICARE:   HEIDI  CLOUSE  CPNP
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
1363LP0200XPediatric Nurse PractitionerVP003910DPA

General Provider Information

NPI Number : 1831366350
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI CLOUSE CPNP
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : SUITE 450
City : WEXFORD
State : PA
Zip : 15090-9381
Country : US
Telephone Number : 724-933-1100
Fax Number : 724-933-1160
Provider Business Practice Location Address
First Line : 20421 ROUTE 19
Second Line : SUITE 201
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-7513
Country : US
Telephone Number : 724-776-4433
Fax Number : 724-776-4475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2008
Last Update Date : 01/09/2019

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