Provider Demographics
NPI:1447599493
Name:HYDZIK, HEATHER (ND)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:HYDZIK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 116TH AVE NE STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3800
Mailing Address - Country:US
Mailing Address - Phone:425-957-0761
Mailing Address - Fax:425-957-1156
Practice Address - Street 1:1260 116TH AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3800
Practice Address - Country:US
Practice Address - Phone:425-957-0761
Practice Address - Fax:425-957-1156
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60452686175F00000X
MENP396175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath