Heather Marie Misja is a Medical in Pueblo, Colorado. Heather Marie Misja practices all healthcare services and medical treatments related to Medical. The NPI Number for Heather Marie Misja is 1174686448. The last update date is 2010-03-01.
Heather Marie Misja's current location address is 4112 Outlook Blvd, Pueblo, Colorado. You can contact this provider via phone number 7194759496. The mailing address for Heather Marie Misja is 4112 Outlook Blvd, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Marie Misja |
|---|---|
| Address | 4112 Outlook Blvd, Pueblo, Colorado |
| Phone Number | 7194759496 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174686448 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2010-03-01 |
Provider Mailing Address Detail
| Address | 4112 Outlook Blvd |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081667 |
| Phone Number | 7194759496 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA052759 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Heather Marie Misja by the Centers for Medicare & Medicaid Services?
The Heather Marie Misja has been assigned the NPI (National Provider Identifier) 1174686448. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Heather Marie Misja's facilities are situated?
The facilities of Heather Marie Misja are physically located at the following address: 4112 Outlook Blvd, Pueblo, CO, 810081667.
What is the Heather Marie Misja's specialty and taxonomy code?
The Heather Marie Misja's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When was the Heather Marie Misja's 1174686448 issued?
The Heather Marie Misja's 1174686448 was issued on 2006-12-18.
When was the information regarding Heather Marie Misja most recently updated?
The details pertaining to the Heather Marie Misja, including its address, specialty, and other relevant information, were last refreshed on 2010-03-01.