Heather Koren Mann, ARRT (CT) CRT
Individual provider Active NPI Radiologic Technologist · Copperopolis, CA
NPI 1407551963 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1407551963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiologic Technologist 247100000X
- Practice address
- 1676 Sawmill Rd
Copperopolis, CA 95228-9529 - Phone
- (209) 840-3992
- NPI assigned
- Apr 4, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | Yes |
Addresses
Primary practice location
1676 Sawmill Rd
Copperopolis, CA 95228-9529
Mailing address
1676 Sawmill Rd
Copperopolis, CA 95228-9529
Phone (209) 840-3992
Other providers in Copperopolis, CA
- Ocean Reid Grohman
- Kirandeep Kaur
- Kevin S Tom
- Pennie Khong
- Kirandeep Kaur DDS Inc
- Jennifer Ellen Mann
- Mark Twain Medical Center
- Mental Health and Recovery Counseling Education and Training
- Patricia Anne Reber
- Patricia Anne Reber
All providers in Copperopolis, CA · Radiologic Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. 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.