Individual provider · Type 1 NPI

Dan Heidenreich, PA-C

Medical Physician Assistant · Fort Bragg, NC

NPI number 1174593636 Active

About NPI 1174593636

Dan Heidenreich, PA-C's National Provider Identifier is 1174593636, issued on Jan 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, NC. The record was last updated on May 27, 2026.