Provider Demographics
NPI:1881074128
Name:FRIEDEMAN, HEATHER (CNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:FRIEDEMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 HENDERSON RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4388
Mailing Address - Country:US
Mailing Address - Phone:614-545-2002
Mailing Address - Fax:614-545-7546
Practice Address - Street 1:3260 HENDERSON RD
Practice Address - Street 2:STE. 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-4388
Practice Address - Country:US
Practice Address - Phone:614-545-2002
Practice Address - Fax:614-545-7546
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17351-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner