Provider Demographics
NPI:1467508168
Name:MIKESELL, HEATHER FLORENCE (MS)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:FLORENCE
Last Name:MIKESELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:CENTER FOR HUMAN GENETICS, LAKESIDE 1500
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-7234
Mailing Address - Fax:216-844-7497
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:CENTER FOR HUMAN GENETICS, LAKESIDE 1500
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-7234
Practice Address - Fax:216-844-7497
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS