Provider Demographics
NPI:1689302887
Name:HEGER, NATHAN ALAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:ALAN
Last Name:HEGER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6765 TULIP FALLS DR UNIT 2093
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5029
Mailing Address - Country:US
Mailing Address - Phone:951-207-8660
Mailing Address - Fax:
Practice Address - Street 1:6765 TULIP FALLS DR UNIT 2093
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-5029
Practice Address - Country:US
Practice Address - Phone:951-207-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV23048183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist