Anderson, Stephanie Heaton
Anderson, Stephanie Heaton is an individual health care provider with primary practice located at 391 East Main Street 1 Historic Hawkins Building, Canton GA 30114-2712. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Anderson, Stephanie Heaton can be contacted via phone (770) 720-6963.Contact Information
Primary practice address
391 East Main Street 1 Historic Hawkins Building
Canton GA 30114-2712
Phone: (770) 720-6963
Fax: (770) 720-6965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN173488 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN173488 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN173488 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN173488 | Georgia |
Profile Details
| NPI number | 1609087972 |
|---|---|
| LBN Legal business name | Anderson, Stephanie Heaton |
| Credentials | PNP, DNP, RNCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Oct 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609087972 | NPPES |
| Georgia | Other | 495715792A | MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972 |
| Georgia | Other | 629697125A | MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972 |
| Georgia | Other | GA 54532 | MEDICAID PROVIDER ID, STEPHANIE H. ANDERSON, PNP, APRN, NPI# 1609087972 |
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