Individual provider · Type 1 NPI
Lisa Marie Heelan, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1972644094
Active
Practice location
519 W. 114th Street, Health Services At Columbia John Jay Building
New York, NY 10027
Fax (212) 854-1155
Mailing address
143 Bennett Avenue, Apt 4L
New York, NY 10040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F3007441 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1972644094
Lisa Marie Heelan, NP's National Provider Identifier is 1972644094, issued on Feb 9, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.