Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP018470 | PA |
NPI | 1003324229 |
---|---|
Provider Name | Rachel Heintz |
First Address | Pittsburgh, PA 15220-2600 |
Second Address | Pittsburgh, PA 15213-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2018 |
Last Update Date | 22/01/2018 |