Alton, Heidi Lynn

Alton, Heidi Lynn is an individual health care provider with primary practice located at 810 Ainsworth Dr Ste A , Prescott AZ 86301-1612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Alton, Heidi Lynn can be contacted via phone (928) 771-5548.

Contact Information

Primary practice address
810 Ainsworth Dr Ste A Prescott AZ 86301-1612
Fax: (928) 771-5549
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 219761 Arizona

Profile Details

NPI number 1124595509
LBN Legal business name Alton, Heidi Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Mar 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124595509 NPPES
Arizona MEDICAID 526609

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