Mary Margaret Heatley in Waterloo - Physician Assistant

Mary Margaret Heatley - NPI 1134180870

Mary Margaret Heatley is a Physician Assistant in Waterloo, Iowa. Mary Margaret Heatley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Margaret Heatley is 1134180870. The last update date is 2022-02-04.

Mary Margaret Heatley's current location address is 2515 Cyclone Dr Ste B, Waterloo, Iowa. You can contact this provider via phone number 3198888044. The mailing address for Mary Margaret Heatley is 2515 Cyclone Dr Ste B, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Margaret Heatley
Address 2515 Cyclone Dr Ste B, Waterloo, Iowa
Phone Number 3198888044
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134180870
Provider Enumeration Date 2006-03-31
Last Updated Date 2022-02-04

Provider Mailing Address Detail

Address 2515 Cyclone Dr Ste B
City Waterloo
State Iowa (IA)
Post Code 50701
Phone Number 3198888044
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 927
Definition:
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 perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970016889 IA RR MDCR
IA0106 IA JOHN DEERE HEALTHCARE

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FAQs about Mary Margaret Heatley

What is the unique 10-digit identifier code issued to Mary Margaret Heatley by the Centers for Medicare & Medicaid Services?

The Mary Margaret Heatley has been assigned the NPI (National Provider Identifier) 1134180870 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Mary Margaret Heatley's physical address?

The Mary Margaret Heatley is physically located at 2515 Cyclone Dr Ste B, in the city of Waterloo, IA, with the postal code 50701.

What is Mary Margaret Heatley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Margaret Heatley's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134180870 to Mary Margaret Heatley?

The Centers for Medicare & Medicaid Services assigned the 1134180870 to Mary Margaret Heatley on 2006-03-31.

When was the information pertaining to Mary Margaret Heatley most recently updated or revised?

The details related to Mary Margaret Heatley, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-04.

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