Provider Demographics
NPI:1063477818
Name:HURLIMAN, HEIDI (ANP)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:HURLIMAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 STANTON
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5035
Mailing Address - Country:US
Mailing Address - Phone:907-561-7111
Mailing Address - Fax:907-561-1304
Practice Address - Street 1:3260 PROVIDENCE DR
Practice Address - Street 2:SUITE 425
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4615
Practice Address - Country:US
Practice Address - Phone:907-561-7111
Practice Address - Fax:907-561-1304
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK21363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNP0021Medicare ID - Type Unspecified
AK153213Medicare ID - Type Unspecified
AKS94183Medicare UPIN