HEIDI DAWN DUFF PA-C NPI 1588855381

NPI Information

  • NPI: 1588855381
  • Provider Name: HEIDI DAWN DUFF, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 6800 STATE ROUTE 162
    MARYVILLE, IL
    ZIP 62062
  • Phone: (314) 317-0600

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NPI Details

Heidi Dawn Duff, PA-C is a medical physician assistant in Maryville, IL. Heidi Dawn Duff, PA-C NPI is 1588855381. 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:

6800 STATE ROUTE 162
MARYVILLE, IL
ZIP 62062-500
Phone: (314) 317-0600
Fax: (314) 317-0606

The enumeration date for this NPI number is 8/6/2007 and was last updated on 3/10/2015.

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
1363AM0700XPhysician AssistantMedical085003013ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213411009MEDICARE PINILLINOIS

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: 11/21/2025

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