Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3907 | CA |
NPI | 1003056417 |
---|---|
Provider Name | Arlyne E Heerlein |
First Address | Washington, DC 20522-0001 |
Second Address | Washington, DC 20522-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2009 |
Last Update Date | 25/02/2009 |