Judy Diane Heinberger
Individual provider Active NPI Licensed Practical Nurse · Lucas, OH
NPI 1649599382 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1649599382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN129166 (OH)
- Practice address
- 2752 Dickes Rd
Lucas, OH 44843-9310 - Phone
- (419) 892-2381
- NPI assigned
- May 20, 2010
- 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 |
|---|---|---|---|
| PN129166 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN129166 | OH | Yes |
Addresses
Primary practice location
2752 Dickes Rd
Lucas, OH 44843-9310
Mailing address
2752 Dickes Rd
PO Box 521
Lucas, OH 44843-9310
Phone (419) 892-2381
Other providers in Lucas, OH
- Dawn M Foster
- Jennifer Leah Gallaway
- Carl R George
- David M Graham
- Patricia Gruver
- Connie Homerick
- John Robert Johnson
- Lucus Local Schools
- Malabar Anesthesia Services LTD
- Tiffany Mae McGregor
All providers in Lucas, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. 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.