Provider Demographics
NPI:1720085798
Name:HEIL, TRUDY RUMANN (MS, RN, FNP,COHN-S)
Entity Type:Individual
Prefix:
First Name:TRUDY
Middle Name:RUMANN
Last Name:HEIL
Suffix:
Gender:F
Credentials:MS, RN, FNP,COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7349 N VIA PASEO DEL SUR
Mailing Address - Street 2:SUITE 515-451
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3749
Mailing Address - Country:US
Mailing Address - Phone:480-874-2900
Mailing Address - Fax:480-874-2902
Practice Address - Street 1:7349 N VIA PASEO DEL SUR
Practice Address - Street 2:SUITE 515-451
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3749
Practice Address - Country:US
Practice Address - Phone:480-874-2900
Practice Address - Fax:480-874-2902
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN056661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP0213OtherADV PRAC CERTIFICATE NMBR
AZRN056661OtherREGISTERED NURSE LICENSE
AZ65-1251664OtherNP-PPA TAX ID
AZAZ0149310OtherNON-CONTRACTED PROVIDER
AZAZ0149310OtherNON-CONTRACTED PROVIDER
AZAZ0149310OtherNON-CONTRACTED PROVIDER
AZQ44393Medicare UPIN
AZMH0012257OtherDEA NUMBER