Puckett, Heather Caudill

Puckett, Heather Caudill is an individual health care provider with primary practice located at 200 Medical Park Dr Ste 400 , Concord NC 28025-0906. 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. Puckett, Heather Caudill can be contacted via phone (704) 786-1108.

Contact Information

Primary practice address
200 Medical Park Dr Ste 400 Concord NC 28025-0906
Phone: (704) 786-1108
Fax: (704) 782-1826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 900455 North Carolina

Profile Details

NPI number 1679598791
LBN Legal business name Puckett, Heather Caudill
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 11th, 2021 - about 5 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 1679598791 NPPES
North Carolina Other 900455 NC MEDICAL BOARD LICENSE

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