Provider Demographics
NPI:1184931420
Name:BALSER, HEATHER L (DNP, MSNED, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:L
Last Name:BALSER
Suffix:
Gender:F
Credentials:DNP, MSNED, FNP-C
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:CARBALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:210 GOVERNMENT RD
Mailing Address - Street 2:
Mailing Address - City:MATTAWA
Mailing Address - State:WA
Mailing Address - Zip Code:99349-5116
Mailing Address - Country:US
Mailing Address - Phone:509-932-4499
Mailing Address - Fax:509-932-5363
Practice Address - Street 1:210 GOVERNMENT RD
Practice Address - Street 2:
Practice Address - City:MATTAWA
Practice Address - State:WA
Practice Address - Zip Code:99349-5116
Practice Address - Country:US
Practice Address - Phone:509-932-4499
Practice Address - Fax:509-932-5363
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00130855163WC1500X
WAAP61595972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health