Provider Demographics
NPI:1740530062
Name:HETER, ASHLEIGH ANN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:ANN
Last Name:HETER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 N. HWY 69
Mailing Address - Street 2:
Mailing Address - City:FRONTENAC
Mailing Address - State:KS
Mailing Address - Zip Code:66763
Mailing Address - Country:US
Mailing Address - Phone:620-235-1377
Mailing Address - Fax:
Practice Address - Street 1:1011 N. HWY 69
Practice Address - Street 2:
Practice Address - City:FRONTENAC
Practice Address - State:KS
Practice Address - Zip Code:66763
Practice Address - Country:US
Practice Address - Phone:620-235-1377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily