Provider Demographics
NPI:1598260556
Name:HEPPNER, CHARLOTTE NATHALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:NATHALIE
Last Name:HEPPNER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:13540 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2107
Mailing Address - Country:US
Mailing Address - Phone:804-739-6412
Mailing Address - Fax:804-739-8923
Practice Address - Street 1:13540 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2107
Practice Address - Country:US
Practice Address - Phone:804-739-6412
Practice Address - Fax:804-739-8923
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101272388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine