Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP022049 | PA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ01000200 | NJ |
NPI | 1326671173 |
---|---|
Provider Name | Alyson Heller |
First Address | Philadelphia, PA 19107-5211 |
Second Address | Marlton, NJ 08053 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2020 |
Last Update Date | 30/04/2021 |