Provider Demographics
NPI:1518330216
Name:PISANO, HEATHER M (NP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:PISANO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2525 E CAMELBACK RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4219
Mailing Address - Country:US
Mailing Address - Phone:602-778-3600
Mailing Address - Fax:602-778-3602
Practice Address - Street 1:ELM AND CARLTON STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263-0001
Practice Address - Country:US
Practice Address - Phone:716-845-2300
Practice Address - Fax:716-845-3549
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2023-10-05
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Provider Licenses
StateLicense IDTaxonomies
NY340066363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner