Provider Demographics
NPI:1518136472
Name:HEINS, ANNA ELIZABETH
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ELIZABETH
Last Name:HEINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 HAMPTON WAY
Mailing Address - Street 2:APT 1
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8680
Mailing Address - Country:US
Mailing Address - Phone:859-248-1438
Mailing Address - Fax:859-985-0590
Practice Address - Street 1:566 HAMPTON WAY
Practice Address - Street 2:APT 1
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8680
Practice Address - Country:US
Practice Address - Phone:859-248-1438
Practice Address - Fax:859-985-0590
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist