Haegele, Heather L

Haegele, Heather L is an individual health care provider with primary practice located at 3619 Richardson Square Dr Suite 170, Arnold MO 63010-6022. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Haegele, Heather L can be contacted via phone (636) 717-6776.

Contact Information

Primary practice address
3619 Richardson Square Dr Suite 170 Arnold MO 63010-6022
Fax: (314) 525-4055
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 142540 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142540 Missouri

Profile Details

NPI number 1962595710
LBN Legal business name Haegele, Heather L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 14th, 2017 - about 7 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 1962595710 NPPES
Missouri MEDICAID 428734008

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