Individual provider · Type 1 NPI

Nicole Broadbent Heywood, PA-C

Physician Assistant · Ontario, OR

NPI number 1831564954 Active

Practice location

840 SW 4th Ave Ste 105
Ontario, OR 97914-2638

Call (541) 889-2668 Map

Fax (541) 889-2997

Mailing address

1441 NE 10th Ave
Payette, ID 83661-5420

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-1325 (ID)
Physician Assistant Primary 363A00000XPA186871 (OR)

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 1831564954

Nicole Broadbent Heywood, PA-C's National Provider Identifier is 1831564954, issued on Dec 1, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ontario, OR. The record was last updated on Jan 14, 2026.