Provider Demographics
NPI:1235616731
Name:PIFER, HEIDI MARIE (NP-C)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:MARIE
Last Name:PIFER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8244 E US HIGHWAY 36 STE 1310
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9627
Mailing Address - Country:US
Mailing Address - Phone:317-838-9355
Mailing Address - Fax:317-718-2955
Practice Address - Street 1:8244 E US HIGHWAY 36 STE 1310
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9627
Practice Address - Country:US
Practice Address - Phone:317-838-9355
Practice Address - Fax:317-718-2955
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28202322A163W00000X
IN71008319A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse