Heavner, Angela Carol

Heavner, Angela Carol is an individual health care provider with primary practice located at 17273 State Route 104 Bldg 27 , Chillicothe OH 45601-9718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Heavner, Angela Carol can be contacted via phone (740) 773-1141.

Contact Information

Primary practice address
17273 State Route 104 Bldg 27 Chillicothe OH 45601-9718
Phone: (740) 773-1141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R168466 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.08278-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5003017 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 249462 North Carolina

Profile Details

NPI number 1871640417
LBN Legal business name Heavner, Angela Carol
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871640417 NPPES
North Carolina MEDICAID 1871640417
North Carolina MEDICAID NP2380

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