Provider Demographics
NPI:1841518016
Name:HESS, HEATHER SUZANNE (RN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SUZANNE
Last Name:HESS
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 1:1196 BELLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-4014
Mailing Address - Country:US
Mailing Address - Phone:937-372-5991
Mailing Address - Fax:
Practice Address - Street 1:1196 BELLBROOK AVE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-4014
Practice Address - Country:US
Practice Address - Phone:937-372-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH353251163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse