Provider Demographics
NPI:1174490007
Name:CHRISMAN, HEIDI KATHERINA
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:KATHERINA
Last Name:CHRISMAN
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 1:26 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOHAWK
Mailing Address - State:NY
Mailing Address - Zip Code:13407-1302
Mailing Address - Country:US
Mailing Address - Phone:315-794-7873
Mailing Address - Fax:
Practice Address - Street 1:26 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOHAWK
Practice Address - State:NY
Practice Address - Zip Code:13407-1302
Practice Address - Country:US
Practice Address - Phone:315-794-7873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula