Provider Demographics
NPI:1902218332
Name:PUCHEU, HEATHER (SBD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:PUCHEU
Suffix:
Gender:F
Credentials:SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4917 N NAPA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-4130
Mailing Address - Country:US
Mailing Address - Phone:509-954-1855
Mailing Address - Fax:
Practice Address - Street 1:4917 N NAPA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-4130
Practice Address - Country:US
Practice Address - Phone:509-954-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603400571374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula