Heather Iannone
Individual provider Active NPI Licensed Practical Nurse · Yeagertown, PA
NPI 1164837795 · NPPES record last updated Jun 23, 2014
Key facts
- NPI
- 1164837795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN294917 (PA)
- Practice address
- 25 Rothermel Dr
Yeagertown, PA 17099-9707 - Phone
- (717) 248-8197
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN294917 | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN294917 | PA | Yes |
Addresses
Primary practice location
25 Rothermel Dr
Yeagertown, PA 17099-9707
Mailing address
25 Rothermel Drive
Yeagertown, PA 17099
Phone (717) 248-8197
Other providers in Yeagertown, PA
- Mark S Hill
- Susan Ruth Nichols Hobbs
- Holly Hockenberry
- Lorna C. Hogeland
- Nancy Hopple
- Marcy Imes
- Jeffrey a Bonjo
- Rachel Kauffman
- Angela Keeler
- Richard D Klingensmith
All providers in Yeagertown, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.