Heidelburg, Tavithia

Heidelburg, Tavithia is an individual health care provider with primary practice located at Po Box 261 , Brandon MS 39043-0261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heidelburg, Tavithia can be contacted via phone (601) 353-8486.

Contact Information

Primary practice address
Po Box 261 Brandon MS 39043-0261
Phone: (601) 353-8486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902245 Mississippi

Profile Details

NPI number 1548768260
LBN Legal business name Heidelburg, Tavithia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2018
Last updated Mar 2nd, 2026 - about 7 months 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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