Individual provider · Type 1 NPI
Lally Anne Heffner, CRNP
Adult Health Nurse Practitioner · Edgewater, MD
NPI number
1114551637
Active
Practice location
2303 Noblewood Rd
Edgewater, MD 21037-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R177182 (MD) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R177182 (MD) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1114551637
Lally Anne Heffner, CRNP's National Provider Identifier is 1114551637, issued on Feb 24, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Edgewater, MD. The record was last updated on Feb 24, 2020.