Annette Jo Heasman is a School in Phoenix, Arizona. Annette Jo Heasman practices all healthcare services and medical treatments related to School. The NPI Number for Annette Jo Heasman is 1215050562. The last update date is 2007-07-09.
Annette Jo Heasman's current location address is 4636 N 40th St, Phoenix, Arizona. You can contact this provider via phone number 6029556668. The mailing address for Annette Jo Heasman is 4636 N 40th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annette Jo Heasman |
|---|---|
| Address | 4636 N 40th St, Phoenix, Arizona |
| Phone Number | 6029556668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1215050562 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4636 N 40th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850183623 |
| Phone Number | 6029556668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 163Ws0200X |
| Licence No | RN017555 |
|
Definition: A registered nurse based at an elementary, middle or high school providing health services to students. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 568917 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Annette Jo Heasman by the Centers for Medicare & Medicaid Services?
The Annette Jo Heasman has been issued the NPI (National Provider Identifier) 1215050562 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Annette Jo Heasman's physical address?
The Annette Jo Heasman is physically located at 4636 N 40Th St, in the city of Phoenix, AZ, with the postal code 850183623.
What is Annette Jo Heasman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Annette Jo Heasman's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 163Ws0200X.
On what date did Annette Jo Heasman receive its 1215050562 assignment from the Centers for Medicare & Medicaid Services?
The Annette Jo Heasman was assigned its 1215050562 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Annette Jo Heasman's information last updated?
The Annette Jo Heasman's information was last updated on 2007-07-09.