CHRISTINE L HERITAGE NMNP NPI 1215975313

NPI Information

NPI: 1215975313
Provider Name: CHRISTINE L HERITAGE, NMNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
353 DEADMOND FERRY RD
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 222-7750
Get Directions

Christine L Heritage, NMNP is an obstetrics and gynecology nurse practitioner in Springfield, OR. Christine L Heritage, NMNP NPI is 1215975313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

353 DEADMOND FERRY RD
SPRINGFIELD, OR
ZIP 97477-406
Phone: (541) 222-7750

The NPI 1215975313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/2/2006 and was last updated on 3/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	089006318N5	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R99536	MEDICARE UPIN
2	RR PTAN 420000573	MEDICARE PIN	OREGON
3	080205	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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