Provider Demographics
NPI:1477651206
Name:HEFNER, KATHERINE CARPENTER (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:CARPENTER
Last Name:HEFNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 149
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0149
Mailing Address - Country:US
Mailing Address - Phone:828-586-7705
Mailing Address - Fax:828-586-7714
Practice Address - Street 1:81 MEDICAL PARK LOOP
Practice Address - Street 2:STE 202
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5291
Practice Address - Country:US
Practice Address - Phone:828-586-7705
Practice Address - Fax:828-586-7714
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-00025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013YYOtherBCBS NC
NC2593455Medicare PIN