Provider Demographics
NPI:1689360067
Name:NESS, HEIDI JOY (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:JOY
Last Name:NESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 STEVENS DR APT 711
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-2161
Mailing Address - Country:US
Mailing Address - Phone:360-560-4384
Mailing Address - Fax:
Practice Address - Street 1:2698 PATTERSON RD STE 100
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8211
Practice Address - Country:US
Practice Address - Phone:970-298-2874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0009819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine