Stephanie Heaton Anderson in Canton - Pediatrics
Stephanie Heaton Anderson - NPI 1609087972
Stephanie Heaton Anderson is a Pediatrics in Canton, Georgia. Stephanie Heaton Anderson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephanie Heaton Anderson is 1609087972. The last update date is 2011-10-28.
Stephanie Heaton Anderson's current location address is 391 East Main Street, Canton, Georgia. You can contact this provider via phone number 7707206963 and fax number 7707206965. The mailing address for Stephanie Heaton Anderson is 391 East Main Street, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Heaton Anderson |
|---|---|
| Address | 391 East Main Street, Canton, Georgia |
| Phone Number | 7707206963 |
| Fax Number | 7707206965 |
| Sole Proprietor | N |
| Credentials | PNP, DNP, |
NPI Number Detail
| NPI Number | 1609087972 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
| Address | 391 East Main Street |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301142712 |
| Phone Number | 7707206963 |
| Fax Number | 7707206965 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | RN173488 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495715792A | GA | MEDICAID PROVIDER ID, STEPHAN | |
| 629697125A | GA | MEDICAID PAYOR ID, NORTHSIDE | |
| GA 54532 | GA | AUTHORIZED CONTACT REPRESENTAT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephanie Heaton Anderson by the Centers for Medicare & Medicaid Services?
The Stephanie Heaton Anderson has been issued the NPI (National Provider Identifier) 1609087972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Stephanie Heaton Anderson located?
The Stephanie Heaton Anderson is located at 391 East Main Street, Canton, GA 301142712.
What is Stephanie Heaton Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephanie Heaton Anderson is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609087972 to Stephanie Heaton Anderson?
The Stephanie Heaton Anderson received its 1609087972 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information related to Stephanie Heaton Anderson most recently updated or refreshed?
The details pertaining to the Stephanie Heaton Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-28.