Provider Demographics
NPI:1639432271
Name:WOJSLAW, HEATHER LYN (NMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYN
Last Name:WOJSLAW
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7558 W THUNDERBIRD RD STE 1-460
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-6080
Mailing Address - Country:US
Mailing Address - Phone:480-502-9487
Mailing Address - Fax:855-313-5053
Practice Address - Street 1:7629 E PINNACLE PEAK RD
Practice Address - Street 2:STE 114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6290
Practice Address - Country:US
Practice Address - Phone:480-502-9487
Practice Address - Fax:855-313-5053
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ12-1314175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath