Provider Demographics
NPI:1245202712
Name:GHENT, HEATHER DAWN (RN1785262)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DAWN
Last Name:GHENT
Suffix:
Gender:F
Credentials:RN1785262
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 PACIFIC HILLS PT
Mailing Address - Street 2:APT G 208
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8438
Mailing Address - Country:US
Mailing Address - Phone:719-524-4172
Mailing Address - Fax:
Practice Address - Street 1:USA MEDDAC/EVANS ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:1650 COCHRANE CIRCLE
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-524-4172
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1785262163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator