Heidenreich, Tanya

Heidenreich, Tanya is an individual health care provider with primary practice located at 2199 W Ironwood Center Dr , Coeur D Alene ID 83814-2639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Heidenreich, Tanya can be contacted via phone (208) 625-4888.

Contact Information

Primary practice address
2199 W Ironwood Center Dr Coeur D Alene ID 83814-2639
Phone: (208) 625-4888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP358A Idaho

Profile Details

NPI number 1689689085
LBN Legal business name Heidenreich, Tanya
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 6th, 2020 - about 5 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 1689689085 NPPES
Idaho MEDICAID 805146700
Idaho Other 000010015819
Idaho Other NP659

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