AUDREY HEATH FNP-C NPI 1104338268

NPI Information

NPI: 1104338268
Provider Name: AUDREY HEATH, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MERCY EAST AMBULATORY SERVICES LLC

PECOS Registration: Yes

Address:
233 CLARKSON RD
ELLISVILLE, MO
ZIP 63011
Phone: (636) 256-8644
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Audrey Heath, FNP-C is a family nurse practitioner in Ellisville, MO with 7 years of experience. Audrey Heath, FNP-C NPI is 1104338268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

233 CLARKSON RD
ELLISVILLE, MO
ZIP 63011-219
Phone: (636) 256-8644

The NPI 1104338268 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 10/30/2017 and was last updated on 10/30/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2017035896	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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