Provider Demographics
NPI:1689425563
Name:PRIEST, HEIDI (RN CDCES)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:PRIEST
Suffix:
Gender:F
Credentials:RN CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 JOE ED WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6907
Mailing Address - Country:US
Mailing Address - Phone:661-549-5415
Mailing Address - Fax:
Practice Address - Street 1:6401 JOE ED WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6907
Practice Address - Country:US
Practice Address - Phone:661-549-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA576633163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator