Individual provider · Type 1 NPI
Wayne R. Heaton, APRN
Psychiatric/Mental Health Nurse Practitioner · Provo, UT
NPI number
1083623862
Active
Practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2168864405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083623862
Wayne R. Heaton, APRN's National Provider Identifier is 1083623862, issued on Aug 7, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Provo, UT. The record was last updated on Aug 19, 2013.