Provider Demographics
NPI:1528567120
Name:LEVINSKY, HEATHER MICHELLE (CNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:LEVINSKY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MICHELLE
Other - Last Name:SPUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:440 EAST MARSHALL STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5415
Mailing Address - Country:US
Mailing Address - Phone:610-738-2500
Mailing Address - Fax:610-738-2540
Practice Address - Street 1:440 EAST MARSHALL STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5415
Practice Address - Country:US
Practice Address - Phone:610-738-2500
Practice Address - Fax:610-738-2540
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025593363LF0000X
DELG-0001391363L00000X
MDR231773363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily