Anderson, Heather Nicole

Anderson, Heather Nicole is an individual health care provider with primary practice located at 500 N Keene St Ste 207 , Columbia MO 65201-8104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Anderson, Heather Nicole can be contacted via phone (573) 771-3970.

Contact Information

Primary practice address
500 N Keene St Ste 207 Columbia MO 65201-8104
Phone: (573) 771-3970
Fax: (573) 219-3964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56472 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021009636 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 56472 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2021009636 Missouri

Profile Details

NPI number 1366705501
LBN Legal business name Anderson, Heather Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Aug 16th, 2022 - 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 1366705501 NPPES
Missouri MEDICAID 200095191

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