Individual provider · Type 1 NPI

Heather Lynn Widell, PA-C

Medical Physician Assistant · Lackland Afb, TX

NPI number 1902216377 Active

Practice location

1100 Wilford Hall Loop
Lackland Afb, TX 78236-5638

Other practice locations

  • 655 7th St Bldg 700, Robins Afb, GA 31098-2227 · (478) 327-7758
  • 23D Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1302 · (229) 257-1459

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1902216377

Heather Lynn Widell, PA-C's National Provider Identifier is 1902216377, issued on May 6, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lackland Afb, TX. The record was last updated on Dec 18, 2024.