Anderson, Stephanie Heaton

Anderson, Stephanie Heaton is an individual health care provider with primary practice located at 391 East Main Street 1 Historic Hawkins Building, Canton GA 30114-2712. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Anderson, Stephanie Heaton can be contacted via phone (770) 720-6963.

Contact Information

Primary practice address
391 East Main Street 1 Historic Hawkins Building Canton GA 30114-2712
Phone: (770) 720-6963
Fax: (770) 720-6965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN173488 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN173488 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN173488 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN173488 Georgia

Profile Details

NPI number 1609087972
LBN Legal business name Anderson, Stephanie Heaton
Credentials PNP, DNP, RNCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Oct 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609087972 NPPES
Georgia Other 495715792A MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972
Georgia Other 629697125A MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972
Georgia Other GA 54532 MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972

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