Heaster, Natalie Rae
Heaster, Natalie Rae is an individual health care provider with primary practice located at 12200 Warwick Blvd Ste 410 , Newport News VA 23601. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Heaster, Natalie Rae can be contacted via phone (757) 534-5200.Contact Information
Primary practice address
12200 Warwick Blvd Ste 410
Newport News VA 23601
Phone: (757) 534-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110003243 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110003243 | Virginia |
Profile Details
| NPI number | 1184940264 |
|---|---|
| LBN Legal business name | Heaster, Natalie Rae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2010 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184940264 | NPPES |
| Virginia | Other | 0110003243 | STATE LICENSE |
| Virginia | Other | VAA101591 | STATE LICENSE |
| Virginia | Other | 10063347P | STATE LICENSE |
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