Kimberley Heatwole
Individual provider Active NPI Registered Nurse First Assistant · Page, AZ
NPI 1730890989 · NPPES record last updated Dec 8, 2022
Key facts
- NPI
- 1730890989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- RN126339 (AZ)
- Practice address
- 501 N Navajo Dr
Page, AZ 86040-0959 - Phone
- (928) 645-0165
- NPI assigned
- Dec 8, 2022
- 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 |
|---|---|---|---|
| RN126339 | AZ | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN126339 | AZ | Yes |
Addresses
Primary practice location
501 N Navajo Dr
Page, AZ 86040-0959
Mailing address
PO Box 7182
Page, AZ 86040-7182
Phone (928) 640-7454
Other providers in Page, AZ
- Krishna Chaitanya Gondi
- Michele P Grim
- Maureen V. Guilfoyle
- John R Harlan
- Brittany Lynn Harrison
- Holon Health Great Lakes, P.C.
- Raymond Lee Holsten
- Horizon Home Health LC
- Beverly Jean Horton
- Kalvintina Lisa Hudson
All providers in Page, AZ · Registered Nurse First Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2022. 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.