Provider Demographics
NPI:1205036902
Name:SCHENA, HEATHA CUSHMAN (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHA
Middle Name:CUSHMAN
Last Name:SCHENA
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-4713
Mailing Address - Country:US
Mailing Address - Phone:781-891-2222
Mailing Address - Fax:
Practice Address - Street 1:175 FOREST ST
Practice Address - Street 2:RHODES HALL
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-4713
Practice Address - Country:US
Practice Address - Phone:781-891-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA199645363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily