Heasty, Patricia

Heasty, Patricia is an individual health care provider with primary practice located at 4414 Lake Boone Trl Ste 205, Raleigh NC 27607-7513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Heasty, Patricia can be contacted via phone (919) 788-4444.

Contact Information

Primary practice address
4414 Lake Boone Trl Ste 205 Raleigh NC 27607-7513
Phone: (919) 788-4444
Fax: (919) 788-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 940048 North Carolina

Profile Details

NPI number 1407847940
LBN Legal business name Heasty, Patricia
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jun 4th, 2012 - about 14 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 1407847940 NPPES
North Carolina Other 2599199A MEDICARE

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