Provider Demographics
NPI:1689349557
Name:CINI, HEATHER JUNE (PMNHP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JUNE
Last Name:CINI
Suffix:
Gender:F
Credentials:PMNHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 SPRING HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-7815
Mailing Address - Country:US
Mailing Address - Phone:302-383-2151
Mailing Address - Fax:
Practice Address - Street 1:314 E MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7182
Practice Address - Country:US
Practice Address - Phone:302-369-3533
Practice Address - Fax:302-369-3093
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010262363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health