Provider Demographics
NPI:1356156533
Name:JAMES, HEATHER ANNE MARIE
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANNE MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20551 W GALE AVE
Mailing Address - Street 2:
Mailing Address - City:GALESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54630-7005
Mailing Address - Country:US
Mailing Address - Phone:608-484-1426
Mailing Address - Fax:
Practice Address - Street 1:20551 W GALE AVE
Practice Address - Street 2:
Practice Address - City:GALESVILLE
Practice Address - State:WI
Practice Address - Zip Code:54630-7005
Practice Address - Country:US
Practice Address - Phone:608-484-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care