Provider Demographics
NPI:1821615121
Name:HEILMAN, BIANCA (RDN)
Entity Type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 KIRKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4135
Mailing Address - Country:US
Mailing Address - Phone:215-740-9569
Mailing Address - Fax:
Practice Address - Street 1:734 KIRKWOOD ST
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-4135
Practice Address - Country:US
Practice Address - Phone:215-740-9569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered