Provider Demographics
NPI:1427384551
Name:HEISSER, SHARON TERESA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:TERESA
Last Name:HEISSER
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 1:10483 KICKING HORSE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-7960
Mailing Address - Country:US
Mailing Address - Phone:303-808-6592
Mailing Address - Fax:
Practice Address - Street 1:8361 SANGRE DE CRISTO RD STE 210
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4271
Practice Address - Country:US
Practice Address - Phone:303-731-0525
Practice Address - Fax:720-836-4603
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily