Individual provider · Type 1 NPI

Heidi L. Boerman, PA-C, ATC

Physician Assistant · Fort Drum, NY

NPI number 1427048412 Active

Practice location

Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5004

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X001455 (CT)
Physician Assistant Primary 363A00000X0110001442 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1427048412

Heidi L. Boerman, PA-C, ATC's National Provider Identifier is 1427048412, issued on Oct 21, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 13, 2026.