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NPI Code Detail

MEDICARE: HEIDI ANNE HERSHBERGER-ESH CRNP

MEDICARE: HEIDI ANNE HERSHBERGER-ESH CRNP
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
1363LF0000XFamily Nurse PractitionerSP017380PA

General Provider Information

NPI Number : 1962936542
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ANNE HERSHBERGER-ESH CRNP
Provider Business Mailing Address
First Line : 1401 S 31ST ST FL 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-3506
Country : US
Telephone Number : 215-925-2400
Fax Number : 215-925-9162
Provider Business Practice Location Address
First Line : 800 WASHINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-4717
Country : US
Telephone Number : 215-339-5100
Fax Number : 215-454-6814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2017
Last Update Date : 04/25/2017

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