Teresa Carol Heatly in Mesa - Critical Care Medicine
Teresa Carol Heatly - NPI 1366466039
Teresa Carol Heatly is a Critical Care Medicine in Mesa, Arizona. Teresa Carol Heatly practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Teresa Carol Heatly is 1366466039. The last update date is 2023-09-19.
Teresa Carol Heatly's current location address is 5151 E Broadway Rd Ste 107, Mesa, Arizona. You can contact this provider via phone number 4802907000 and fax number 6022546840. The mailing address for Teresa Carol Heatly is 5151 E Broadway Rd Ste 107, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Carol Heatly |
|---|---|
| Address | 5151 E Broadway Rd Ste 107, Mesa, Arizona |
| Phone Number | 4802907000 |
| Fax Number | 6022546840 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366466039 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 5151 E Broadway Rd Ste 107 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852061346 |
| Phone Number | 4802907000 |
| Fax Number | 6022546840 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 23465 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 318677 | AZ | -- | |
| 23465 | AZ | LICENSE |
Post Comment/ Review Below
What is the Teresa Carol Heatly's 1366466039?
The Teresa Carol Heatly's NPI (National Provider Identifier) Number is 1366466039. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Teresa Carol Heatly is physically located?
The Teresa Carol Heatly is physically situated at the following address: 5151 E Broadway Rd Ste 107, Mesa, AZ, 852061346.
What is the Teresa Carol Heatly's specialty and taxonomy code?
The Teresa Carol Heatly's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.
On what date did the Teresa Carol Heatly receive the assignment of its 1366466039 from the Centers for Medicare & Medicaid Services?
The Teresa Carol Heatly was issued its 1366466039 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information pertaining to Teresa Carol Heatly most recently updated or revised?
The details related to Teresa Carol Heatly, including its address, specialty, and other relevant information, were last updated or revised on 2023-09-19.
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