Provider Demographics
NPI:1831366350
Name:CLOUSE, HEIDI (CPNP)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:CLOUSE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
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Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9381
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:20421 ROUTE 19
Practice Address - Street 2:SUITE 201
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-7513
Practice Address - Country:US
Practice Address - Phone:724-776-4433
Practice Address - Fax:724-776-4475
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2019-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAVP003910D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics