Provider Demographics
NPI:1225218316
Name:BOBEK, HEIDI JEAN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:JEAN
Last Name:BOBEK
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MRS
Other - First Name:HEIDI
Other - Middle Name:JEAN
Other - Last Name:BOBEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:4225 LEPPERT RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7543
Mailing Address - Country:US
Mailing Address - Phone:614-777-9913
Mailing Address - Fax:
Practice Address - Street 1:4225 LEPPERT RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7543
Practice Address - Country:US
Practice Address - Phone:614-777-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP 09742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily