Provider Demographics
NPI:1679965776
Name:ARREDONDO, HEATHER (RN)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:ARREDONDO
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 1:5950 EGYPT PIKE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9076
Mailing Address - Country:US
Mailing Address - Phone:740-823-3460
Mailing Address - Fax:
Practice Address - Street 1:5950 EGYPT PIKE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9076
Practice Address - Country:US
Practice Address - Phone:740-823-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH356074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse