Provider Demographics
NPI:1659058766
Name:CURRY, HEATHER DIANE (RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DIANE
Last Name:CURRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 MASON ST
Mailing Address - Street 2:
Mailing Address - City:MORRISONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12962-2701
Mailing Address - Country:US
Mailing Address - Phone:518-534-6279
Mailing Address - Fax:
Practice Address - Street 1:849 MASON ST
Practice Address - Street 2:
Practice Address - City:MORRISONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12962-2701
Practice Address - Country:US
Practice Address - Phone:518-534-6279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY821311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse