Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1457591414 |
---|---|
Provider Name | Mrs. Heather Foust Marchant |
First Address | Fayetteville, NC 28304-3414 |
Second Address | Fayetteville, NC 28304-3414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2009 |
Last Update Date | 26/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0478V | BCBS (01) | |
7701177 | (05) | NC |
7703482 | (05) | NC |
8238886 | UNITED HEALTHCARE (01) | NC |