Provider Demographics
NPI:1518622760
Name:DESKINS, HEATHER SUTHERS (RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:SUTHERS
Last Name:DESKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:SUTHERS
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2586 OLD BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:VA
Mailing Address - Zip Code:24324-2902
Mailing Address - Country:US
Mailing Address - Phone:276-620-6606
Mailing Address - Fax:
Practice Address - Street 1:2586 OLD BALTIMORE RD
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:VA
Practice Address - Zip Code:24324-2902
Practice Address - Country:US
Practice Address - Phone:276-620-6606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001218913163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse