Provider Demographics
NPI:1568885135
Name:NIXON, HEIDI MARIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:MARIE
Last Name:NIXON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8121 W QUINAULT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8242
Mailing Address - Country:US
Mailing Address - Phone:509-438-8966
Mailing Address - Fax:949-404-8805
Practice Address - Street 1:8121 W QUINAULT AVE STE A
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8242
Practice Address - Country:US
Practice Address - Phone:509-438-8966
Practice Address - Fax:949-404-8805
Is Sole Proprietor?:No
Enumeration Date:2014-02-01
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13683-NP363LA2200X
WA61108640363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology