WENDY D HEIDEL FNP NPI 1083779193

NPI Information

Wendy D Heidel, FNP is a family nurse practitioner in Knoxville, TN with 27 years of experience. Wendy D Heidel, FNP NPI is 1083779193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

1819 CLINCH AVE STE 200
KNOXVILLE, TN
ZIP 37916-435
Phone: (865) 984-3413
Fax: (865) 212-5597

The NPI 1083779193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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