Cruise, Heidi Ann
Cruise, Heidi Ann is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cruise, Heidi Ann can be contacted via phone (541) 388-1636.Contact Information
Primary practice address
2500 Ne Neff Rd
Bend OR 97701-6015
Phone: (541) 388-1636
Fax: (541) 388-1719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 3096 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3285 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01270 | Oregon |
Profile Details
| NPI number | 1699746826 |
|---|---|
| LBN Legal business name | Cruise, Heidi Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 5th, 2023 - about last year |
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 | 1699746826 | NPPES |
| Oregon | MEDICAID | 500606010 |
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