Provider Demographics
NPI:1568944866
Name:HEAPY, DAWN LEAH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:LEAH
Last Name:HEAPY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78549 466TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NE
Mailing Address - Zip Code:68852-1945
Mailing Address - Country:US
Mailing Address - Phone:308-627-3353
Mailing Address - Fax:
Practice Address - Street 1:500 N MAIN
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:NE
Practice Address - Zip Code:68852
Practice Address - Country:US
Practice Address - Phone:308-446-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114472363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner