Patricia M Heisler, RN, CRNFA

Individual provider Active NPI Registered Nurse First Assistant · Somerville, NJ

NPI 1164598389 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164598389
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse First Assistant 163WR0006X
License
NO44156 (NJ)
Practice address
220 E Cliff St
Somerville, NJ 08876-2415
Phone
(908) 526-1753
Fax
(908) 595-1620
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NO44156NJMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Specialty Assistants, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X NO44156 NJ Yes

Addresses

Primary practice location

220 E Cliff St
Somerville, NJ 08876-2415

Mailing address

220 E Cliff St
Somerville, NJ 08876-2415
Phone (908) 526-1753

Other providers in Somerville, NJ

All providers in Somerville, NJ · Registered Nurse First Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.