Provider Demographics
NPI:1710909577
Name:HEINTZ, JUDY LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:LEE
Last Name:HEINTZ
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Gender:F
Credentials:RN
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Mailing Address - Street 1:SR 1014 PO BOX 111
Mailing Address - Street 2:TORRANCE STATE HOSPITAL
Mailing Address - City:TORRANCE
Mailing Address - State:PA
Mailing Address - Zip Code:15779
Mailing Address - Country:US
Mailing Address - Phone:724-459-4459
Mailing Address - Fax:724-459-4419
Practice Address - Street 1:STATE ROUTE 1014
Practice Address - Street 2:TORRANCE STATE HOSPITAL
Practice Address - City:TORRANCE
Practice Address - State:PA
Practice Address - Zip Code:15779
Practice Address - Country:US
Practice Address - Phone:724-459-4495
Practice Address - Fax:724-459-4419
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PARN539429364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult