Provider Demographics
NPI:1750536421
Name:WOLANIN, HEIDI LYNNE
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:LYNNE
Last Name:WOLANIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LYNNE
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:299 DINNERBELL RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-8859
Mailing Address - Country:US
Mailing Address - Phone:724-841-1370
Mailing Address - Fax:
Practice Address - Street 1:299 DINNERBELL RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-8859
Practice Address - Country:US
Practice Address - Phone:724-841-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-23
Last Update Date:2008-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA555278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse