Provider Demographics
NPI:1235129974
Name:CONNER-MERZ, HEATHER A (PA-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:CONNER-MERZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 EAST OREGON RROAD
Mailing Address - Street 2:NEUROLOGY & STROKE ASSOCIATES
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9202
Mailing Address - Country:US
Mailing Address - Phone:717-569-8773
Mailing Address - Fax:717-569-8187
Practice Address - Street 1:640 EAST OREGON RROAD
Practice Address - Street 2:NEUROLOGY & STROKE ASSOCIATES
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9202
Practice Address - Country:US
Practice Address - Phone:717-569-8773
Practice Address - Fax:717-569-8187
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051676363AM0700X
PAMA051676363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0080684Medicare ID - Type Unspecified
PA080684Q5FMedicare PIN
PAP94457Medicare UPIN