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MRS. ANDREA MARIE HEISE CRNP NPI 1134457377


NPI Information

NPI: 1134457377
Provider Name: MRS. ANDREA MARIE HEISE, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
111 SOUTH 11TH STREET
GIBBON BUILDING
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6000
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MRS. Andrea Marie Heise, CRNP is a family nurse practitioner in Philadelphia, PA. MRS. Andrea Marie Heise, CRNP NPI is 1134457377. 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:

111 SOUTH 11TH STREET
GIBBON BUILDING
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6000
Fax: (856) 767-3518

The NPI 1134457377 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 11/30/2009 and was last updated on 12/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily26NJ00266300NEW JERSEYNo
2363LF0000XNurse PractitionerFamilySP011065PENNSYLVANIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1077356MEDICARE OSCAR/CERTIFICATION
2207903SK3MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.