Provider Demographics
NPI:1033452024
Name:LAUGHLAND, HEATHER M (ANP-BC, APN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:LAUGHLAND
Suffix:
Gender:F
Credentials:ANP-BC, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 GROVE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-2557
Mailing Address - Country:US
Mailing Address - Phone:856-467-2009
Mailing Address - Fax:856-467-2535
Practice Address - Street 1:204 GROVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08086-2557
Practice Address - Country:US
Practice Address - Phone:856-467-2009
Practice Address - Fax:856-467-2535
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00419700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner