Provider Demographics
NPI:1154352821
Name:HEILMEIER, JUDITH LOUISE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:LOUISE
Last Name:HEILMEIER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54691 COLERAIN PIKE
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1159
Mailing Address - Country:US
Mailing Address - Phone:740-633-5109
Mailing Address - Fax:
Practice Address - Street 1:105 PLAZA DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-9773
Practice Address - Country:US
Practice Address - Phone:740-695-9321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP06991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily