Heitzler, Joan E

Heitzler, Joan E is an individual health care provider with primary practice located at 13417 Us Highway 301 Ste. A, Dade City FL 33525-5446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Heitzler, Joan E can be contacted via phone (352) 567-5136.

Contact Information

Primary practice address
13417 Us Highway 301 Ste. A Dade City FL 33525-5446
Phone: (352) 567-5136
Fax: (813) 355-5038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 1559622 Florida

Profile Details

NPI number 1447417076
LBN Legal business name Heitzler, Joan E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Nov 5th, 2015 - about 11 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 1447417076 NPPES
Florida Other P00998715 RR MEDICARE
Florida MEDICAID 002011800 RR MEDICARE

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