Provider Demographics
NPI:1144424078
Name:HEINTZ, HEATHER FERN
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:FERN
Last Name:HEINTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N CHOLLA
Mailing Address - Street 2:
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85228-9035
Mailing Address - Country:US
Mailing Address - Phone:480-898-0809
Mailing Address - Fax:
Practice Address - Street 1:102 N CHOLLA
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85228-9035
Practice Address - Country:US
Practice Address - Phone:480-898-0809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist