Provider Demographics
NPI:1508386681
Name:FAUBER, HEIDI MICHELLE (MSN, RN, NP-C)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:MICHELLE
Last Name:FAUBER
Suffix:
Gender:F
Credentials:MSN, RN, NP-C
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:MICHELLE
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:740-845-7500
Mailing Address - Fax:740-845-7501
Practice Address - Street 1:247 S BURNETT RD STE 120
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-2662
Practice Address - Country:US
Practice Address - Phone:740-845-7500
Practice Address - Fax:740-845-7501
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021049363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner