Provider Demographics
NPI:1114478658
Name:HEISHMAN, EMILY (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HEISHMAN
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 GREENTREE DR # 335
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7646
Mailing Address - Country:US
Mailing Address - Phone:302-508-0541
Mailing Address - Fax:302-202-5779
Practice Address - Street 1:1197 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-6491
Practice Address - Country:US
Practice Address - Phone:302-508-0541
Practice Address - Fax:302-202-5779
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000976363LF0000X, 363L00000X
DEL8-0010370363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health