Individual provider · Type 1 NPI

Heather R. Bacon

Student in an Organized Health Care Education/Training Program · Colville, WA

NPI number 1144731183 Active

Practice location

982 E Columbia Ave Ste 201
Colville, WA 99114-3316

Call (509) 685-5000 Map

Fax (509) 684-5286

Mailing address

165 E Hawthorne Ave
Colville, WA 99114-2629

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNC60272219 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNC60272219 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144731183

Heather R. Bacon's National Provider Identifier is 1144731183, issued on Oct 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colville, WA. The record was last updated on Dec 13, 2018.