Provider Demographics
NPI:1740972512
Name:LEMIRE, HEATHER (RN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SOSSOMAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-9711
Mailing Address - Country:US
Mailing Address - Phone:704-968-2657
Mailing Address - Fax:
Practice Address - Street 1:1801 SOSSOMAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-9711
Practice Address - Country:US
Practice Address - Phone:704-968-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC236736163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse