Provider Demographics
NPI:1164598389
Name:HEISLER, PATRICIA M (RN, CRNFA)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:HEISLER
Suffix:
Gender:F
Credentials:RN, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2415
Mailing Address - Country:US
Mailing Address - Phone:908-526-1753
Mailing Address - Fax:908-595-1620
Practice Address - Street 1:220 E CLIFF ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2415
Practice Address - Country:US
Practice Address - Phone:908-526-1753
Practice Address - Fax:908-595-1620
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNO44156163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant