Nancy Heed, PA-C

Individual provider Active NPI Physician Assistant · Plainwell, MI

NPI 1164517066 · NPPES record last updated Mar 22, 2010

Key facts

NPI
1164517066
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601001495 (MI)
Practice address
345 Naomi St
Plainwell, MI 49080-1257
Phone
(269) 552-0100
Fax
(269) 552-0111
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601001495MIMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001495 MI Yes

Addresses

Primary practice location

345 Naomi St
Plainwell, MI 49080-1257

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (269) 552-2836

Other providers in Plainwell, MI

All providers in Plainwell, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.