MEDICARE: HEIDI NABER R.N.

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	163WR0400X	Rehabilitation Registered Nurse	RN00101483	WA

General Provider Information

NPI Number	:	1891796066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI NABER R.N.

Provider Business Mailing Address
First Line	:	149 W WISER LAKE RD
Second Line	:
City	:	FERNDALE
State	:	WA
Zip	:	98248-9421
Country	:	US
Telephone Number	:	360-354-3312
Fax Number	:

Provider Business Practice Location Address
First Line	:	149 W WISER LAKE RD
Second Line	:
City	:	FERNDALE
State	:	WA
Zip	:	98248-9421
Country	:	US
Telephone Number	:	360-354-3312
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/09/2009

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Directions to “ HEIDI NABER R.N.” Practice Location

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