Provider Demographics
NPI:1053667956
Name:POLLARD, HEATHER CHERIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:CHERIE
Last Name:POLLARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:CHERIE
Other - Last Name:POLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4000 AMBASSADOR DRIVE
Mailing Address - Street 2:CHAP TRAINING
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-729-4584
Mailing Address - Fax:907-563-0100
Practice Address - Street 1:4000 AMBASSADOR DRIVE
Practice Address - Street 2:CHAP TRAINING
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-729-4584
Practice Address - Fax:907-563-0100
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
AK1137363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical