Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5004342 | NC |
NPI | 1356000541 |
---|---|
Provider Name | Ms. Julie L Heintz |
First Address | Wilmington, NC 28403-1208 |
Second Address | Wilmington, NC 28401-7407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2021 |
Last Update Date | 15/12/2021 |