Heesaker, Marian Elizabeth

Heesaker, Marian Elizabeth is an individual health care provider with primary practice located at 3090 N 12Th St Unit B , Grand Junction CO 81506-2804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heesaker, Marian Elizabeth can be contacted via phone (970) 241-2212.

Contact Information

Primary practice address
3090 N 12Th St Unit B Grand Junction CO 81506-2804
Phone: (970) 241-2212
Fax: (970) 257-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0990391-NP Colorado

Profile Details

NPI number 1194083774
LBN Legal business name Heesaker, Marian Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2012
Last updated Apr 9th, 2019 - about 7 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 1194083774 NPPES
Colorado MEDICAID 18286577

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