Heffner, Diana Lynn

Heffner, Diana Lynn is an individual health care provider with primary practice located at 1000 E Eager St , Baltimore MD 21202-5533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Heffner, Diana Lynn can be contacted via phone (410) 522-9800.

Contact Information

Primary practice address
1000 E Eager St Baltimore MD 21202-5533
Phone: (410) 522-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R060866 Maryland

Profile Details

NPI number 1912998121
LBN Legal business name Heffner, Diana Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 8th, 2011 - about 15 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 1912998121 NPPES
Maryland MEDICAID 62044

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