MEDICARE: HEIDI MCDONOUGH FNP-C

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
1	363LF0000X	Family Nurse Practitioner	0024174262	VA

General Provider Information

NPI Number	:	1891238044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MCDONOUGH FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 71122
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28272-1122
Country	:	US
Telephone Number	:	804-559-6980
Fax Number	:	804-559-6982

Provider Business Practice Location Address
First Line	:	8400 N RUN MEDICAL DR STE 200
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2319
Country	:	US
Telephone Number	:	804-559-6980
Fax Number	:	804-559-6982

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2016
Last Update Date	:	10/05/2018

Similar Medicare Providers

1265438204 — MARY TAYLOR MCNEER MD
Practice Location Address:

8400 N RUN MEDICAL DR STE 200
MECHANICSVILLE, VA
23116-2319

Practice Phone: 804-559-6980
Practice Fax: 804-559-6982

1942273602 — BHAVESH M PATEL MD
Practice Location Address:

8400 N RUN MEDICAL DR STE 200
MECHANICSVILLE, VA
23116-2319

Practice Phone: 804-285-6390
Practice Fax: 804-285-6393

1023021193 — ARA-MECHANICSVILLE DIALYSIS LLC
Practice Location Address:

8400 N RUN MEDICAL DR STE 100
MECHANICSVILLE, VA
23116-2319

Practice Phone: 804-569-6083
Practice Fax: 804-569-6324

1396511093 — ACHILLES FOOT AND ANKLE HEALTH GROUP INC
Practice Location Address:

7493 RIGHT FLANK RD STE 420
MECHANICSVILLE, VA
23116-3846

Practice Phone: 804-273-1717
Practice Fax: 804-368-0242

1942164991 — ALANNA EISENBEISER MPAS, PA-C
Practice Location Address:

8260 ATLEE RD
MECHANICSVILLE, VA
23116-1844

Practice Phone: 804-764-6000
Practice Fax:

1679537716 — DVA HEALTHCARE RENAL CARE INC
Practice Location Address:

8191 ATLEE RD
MECHANICSVILLE, VA
23116-1807

Practice Phone: 804-730-3149
Practice Fax: 804-730-4187

Directions to “ HEIDI MCDONOUGH FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.