Heaton, Andrea M.

Heaton, Andrea M. is an individual health care provider with primary practice located at 428 E Vann Rd , Greeneville TN 37743-7202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Heaton, Andrea M. can be contacted via phone (423) 278-1950.

Contact Information

Primary practice address
428 E Vann Rd Greeneville TN 37743-7202
Phone: (423) 278-1950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN0000013220 Tennessee

Profile Details

NPI number 1891962486
LBN Legal business name Heaton, Andrea M.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Jan 21st, 2014 - about 12 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 1891962486 NPPES
Tennessee Other 4188703 BCBS
Tennessee MEDICAID 1510583 BCBS

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